PIEDMONT PEDIATRIC PHYSICIANS LLC (NPI# 1447315742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447315742 |
| Entity Type | Organization |
| Organization Name | PIEDMONT PEDIATRIC PHYSICIANS LLC |
| Practice Address |
189 Jefferson Pkwy Newnan GA 30263-5823 |
| Mailing Address |
Po Box 102321 Atlanta GA 30368-2321 |
| Practice Telephone | 7708012500 |
| Practice Fax Number | 7708032121 |
| Mailing Telephone | 7708012500 |
| Mailing Fax Number | 7708032121 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | NAOMI M CASSIN (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 4702713427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
189 JEFFERSON PKWY |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566952 | J. Edwyn Carter | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2005-11-22 |
| 1861990483 | Caroline Victoria Long | Nurse Practitioner | 189 Jefferson Pkwy, Newnan, GA 30263 | 2018-01-29 |
| 1407098981 | Meredith F. Roman | Nurse Practitioner | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2009-03-31 |
| 1427205608 | Samira L Brown | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2008-08-19 |
| 1902994478 | Kathryn H. James | Nurse Practitioner | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2006-10-10 |
| 1194813659 | Sherry P. Holley | Nurse Practitioner | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2006-10-10 |
| 1487680153 | Melinda O Amosu | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2006-06-24 |
| 1184608168 | J. Boyce Thomas | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2005-12-02 |
| 1679557060 | Jasmina M. Rice | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932373420 | Elizabeth Kinta Watkins | Pediatrics | 1111 Bullsboro Dr Ste 6-7, Newnan, GA 30265-2182 | 2008-04-16 |
| 1073560959 | Regina P Justice | Pediatrics | 2462 Highway 34 East, Suite A, Newnan, GA 30265 | 2006-05-27 |
| 1043265259 | Fred A Tega | Pediatrics | 15 Baynard Park, Newnan, GA 30265-6413 | 2006-05-24 |
| 1497714257 | Jill B Dickerson | Pediatrics | 10 Market Square Way Ste 100, Newnan, GA 30265-6078 | 2006-03-21 |
| 1891779096 | Lewis W. Jackson | Pediatrics | 2959 Sharpsburg Mccollum Rd, Newnan, GA 30265-2297 | 2005-12-01 |
| 1770566952 | J. Edwyn Carter | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2005-11-22 |
| 1538686613 | Childrens Clinic LLC | Pediatrics | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2017-08-29 |
| 1134644743 | Shannon Leigh Boles | Pediatrics | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2017-08-04 |
| 1568826253 | Michelle Payne | Pediatrics | 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265-2297 | 2016-04-08 |
| 1740692813 | Olena Vanwonterghem | Pediatrics | 15 Baynard Park, Newnan, GA 30265-6413 | 2014-05-23 |
| Find all providers in NEWNAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.