NORCROSS PEDIATRICS AND ADOLESCENT MEDICINE, INC (NPI# 1467710715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467710715 |
| Entity Type | Organization |
| Organization Name | NORCROSS PEDIATRICS AND ADOLESCENT MEDICINE, INC |
| Practice Address |
1235 Indian Trail Rd Suite 106 Norcross GA 30093-4502 |
| Mailing Address |
Po Box 4048 Macon GA 31208-4048 |
| Practice Telephone | 7709236400 |
| Practice Fax Number | 7705641697 |
| Mailing Telephone | 7709236400 |
| Mailing Fax Number | 7705641697 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | GEORGE KATSITADZE (OWNER) |
| Authorized Official Telephone | 7709236400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1235 INDIAN TRAIL RD SUITE 106 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540010 | Hector Hernandez | Nurse Practitioner | 1235 Indian Trail Rd, Norcross, GA 30093-5524 | 2020-05-26 |
| 1003472150 | Bijalben Patel | Nurse Practitioner | 1235 Indian Trail Rd, Norcross, GA 30093-5524 | 2019-05-14 |
| 1932680063 | Sarah Kaliher | Physician Assistant | 1235 Indian Trail Rd, Norcross, GA 30093 | 2018-08-27 |
| 1528433935 | Jatt Dental PC | Dentist | 1235 Indian Trail Rd, Suite#300, Norcross, GA 30093-5524 | 2015-12-10 |
| 1609128818 | Suket PC | Dentist | 1235 Indian Trail Rd, Norcross, GA 30093-4502 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| 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 |
|---|---|---|---|---|
| 1821323072 | Macky Enterprises PC | Pediatrics | 5380 Peachtree Industrial Blvd, 140, Norcross, GA 30071-4713 | 2009-10-06 |
| 1497933139 | Raymond Chihta Ho | Pediatrics | 5696 Peachtree Pkwy Ste K1, Norcross, GA 30092-2835 | 2008-02-05 |
| 1558587659 | Kamela Momin | Pediatrics | 1235 Indian Trail Rd Ste 100, Norcross, GA 30093-4502 | 2007-04-17 |
| 1568516615 | Norcross Pediatric Clinic Inc | Pediatrics | 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093-3758 | 2007-01-23 |
| 1427131168 | Daniel Charles Tarquinio | Pediatrics | 5600 Oakbrook Pkwy Ste 120, Norcross, GA 30093-1843 | 2006-10-24 |
| 1508960881 | Neha N Soni | Pediatrics | 5139 Jimmy Carter Blvd Ste 205, Norcross, GA 30093-1638 | 2006-09-08 |
| 1447295431 | Alan G Weintraub | Pediatrics | 5635 Peachtree Parkway, Ste 120, Norcross, GA 30092 | 2006-06-17 |
| 1912957952 | Maribel R Woodward | Pediatrics | 5151 Brook Hollow Pkwy, Suite 145, Norcross, GA 30071-3664 | 2006-05-11 |
| 1902862535 | Lizhen Wang | Pediatrics | 510 Beaver Ruin Road, Suite B, Norcross, GA 30071 | 2006-04-22 |
| 1770548877 | Juana M Braverman | Pediatrics | 2625 Beaver Ruin Rd, Suite B, Norcross, GA 30071-4136 | 2006-04-20 |
| Find all providers in NORCROSS | ||||
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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.