STEPPING STONE PEDIATRICS, LLC (NPI# 1477939676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477939676 |
| Entity Type | Organization |
| Organization Name | STEPPING STONE PEDIATRICS, LLC |
| Practice Address |
1770 Dennis Kemp Ln Nw Kennesaw GA 30152-3938 |
| Practice Telephone | 7705159000 |
| Practice Fax Number | 6788133355 |
| Mailing Telephone | 7705159000 |
| Mailing Fax Number | 6788133355 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | DR. KYOUNG-SOON KIM (MANAGING PARTNER) |
| Authorized Official Telephone | 7708621166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
039144 | GA | Ambulatory Health Care Facilities |
| Street Address |
1770 DENNIS KEMP LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473276 | Kyoung-soon Kim | Pediatrics | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2005-11-03 |
| 1255980926 | Jamie Marie Conwell | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2019-09-05 |
| 1841799905 | Hilere Welch Pasley | Registered Nurse | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2018-02-05 |
| 1013001973 | Tanya S Wilcox | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-10-03 |
| 1164490504 | Mary Elizabeth Graves | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1235378324 | Kennesaw Mountain Medical Group | Clinic/Center | 1600 Kennesaw Due West Rd Nw, Building 600 Suite 625, Kennesaw, GA 30152-4301 | 2009-02-12 |
| 1659565562 | Kennesaw Pediatrics | Clinic/Center | 3745 Cherokee St Nw, Suite 401, Kennesaw, GA 30144-6733 | 2007-09-04 |
| 1285786541 | Acworth Family Medicine, PC | Clinic/Center | 5150 Stilesboro Rd Nw, Suite 120, Kennesaw, GA 30152-7744 | 2007-01-17 |
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|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 1417593047 | Integrative Medical Group and Medical Spa, Inc | Clinic/Center | 805 Lambert Dr Ne Ste C, Atlanta, GA 30324-4189 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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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.