WEST VININGS PEDIATRIC GROUP, P.C. (NPI# 1447699061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447699061 |
| Entity Type | Organization |
| Organization Name | WEST VININGS PEDIATRIC GROUP, P.C. |
| Practice Address |
3644 Highlands Pkwy Se Smyrna GA 30082-5184 |
| Practice Telephone | 4044463960 |
| Practice Fax Number | 4044463965 |
| Mailing Telephone | 4044463960 |
| Mailing Fax Number | 4044463965 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | DR. CRYSTAL L/ WHITE (OWNER / M.D.) |
| Authorized Official Telephone | 4044463960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 050747 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 683835419D | 05 |
| Street Address |
3644 HIGHLANDS PKWY SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427023381 | Crystal L White | Pediatrics | 3644 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-02-22 |
| 1154740702 | Sherie Nicole Byrd | Pediatrics | 3644 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| 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 |
|---|---|---|---|---|
| 1083189377 | Rachel Ames | Pediatrics | 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167-6895 | 2018-10-12 |
| 1992183271 | Smyrna Pediatrics Pllc | Pediatrics | 611 Potomac Pl, Suite 103, Smyrna, TN 37167-5655 | 2015-05-07 |
| 1467781690 | Grace Pediatrics Pllc | Pediatrics | 1335 Rock Springs Road, Smyrna, TN 37167-6108 | 2009-12-17 |
| 1740418557 | Ijeoma Cecilia Anyanwu | Pediatrics | 4579 S Cobb Dr Se Ste 300, Smyrna, GA 30080-6389 | 2009-06-30 |
| 1134361728 | Melissa Nicole Harrison Boekhaus | Pediatrics | 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 | 2009-03-30 |
| 1285779967 | Cynthia Colquhoun | Pediatrics | 4441 Atlanta Rd Se Ste 201, Smyrna, GA 30080 | 2007-02-21 |
| 1770634586 | Beatrice U Von Zeschau Wilder | Pediatrics | 1060 Windy Hill Rd, Suite 200, Smyrna, GA 30080-2065 | 2007-01-16 |
| 1770674152 | Aixa I Silvera-schwartz | Pediatrics | 562 Concord Road Se, Smyrna, GA 30082 | 2006-09-28 |
| 1679581433 | Tennessee Medicine & Pediatrics PC | Pediatrics | 741 President Place, Suite 200, Smyrna, TN 37167 | 2006-08-04 |
| 1265497812 | Mohammed Waris | Pediatrics | 3001 S Cobb Dr Se Ste 107, Smyrna, GA 30080-7821 | 2006-04-18 |
| Find all providers in SMYRNA | ||||
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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.