VILLAGE PEDIATRICS AT VICKERY (NPI# 1518445410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518445410 |
| Entity Type | Organization |
| Organization Name | VILLAGE PEDIATRICS AT VICKERY |
| Practice Address |
7185 Colfax Aveune Suite 200 Cumming GA 30040 |
| Mailing Address |
6515 Wesley Hughes Rd Cumming GA 30040-6526 |
| Practice Telephone | 6789903362 |
| Practice Fax Number | 6785509587 |
| Mailing Telephone | 6785238594 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | DR. SHALINI MALA SHAH (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6785238594 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 68556 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
7185 COLFAX AVEUNE SUITE 200 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| 1316437148 | Georgia Family Chiropractic, LLC | Chiropractor | 114 Pirkle Ferry Road, Cumming, GA 30040 | 2018-05-17 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1851606669 | Anandamadhuri V Chunduri | Pediatrics | 1485 Peachtree Parkway, Suite D-1, Cumming, GA 30041-0500 | 2010-08-17 |
| 1811172570 | Monal Khansaheb Shah | Pediatrics | 3030 Old Atlanta Rd, Ste 500, Cumming, GA 30041-6939 | 2007-12-31 |
| 1730250150 | Margaret Boudreaux | Pediatrics | 763 Peachtree Pkwy, Suite 2, Cumming, GA 30041-9351 | 2006-11-10 |
| 1063511673 | Roger Bruce Bessey | Pediatrics | 1100 Northside Forsyth Drive, Suite 360, Cumming, GA 30041 | 2006-09-21 |
| 1811935117 | Tandua O Washington | Pediatrics | 1400 North Forsyth Drive, Suite 350, Cumming, GA 30340 | 2006-06-02 |
| 1700833688 | Ashley E O'shields | Pediatrics | 6470 Georgia Highway 400 Fl 1, Cumming, GA 30028-3460 | 2006-05-27 |
| 1316906043 | Aarti Raina | Pediatrics | 1670 Buford Hwy, Cumming, GA 30041-6585 | 2006-03-21 |
| 1326017906 | Bob B Bagheri | Pediatrics | 204 Canton Rd, Cumming, GA 30040-2304 | 2006-03-16 |
| 1134197502 | Nandor A. Kalli | Pediatrics | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-03-10 |
| 1124095021 | Joan Ifarinde | Pediatrics | 3075 Ronald Reagan Blvd, Suite 501, Cumming, GA 30041-6052 | 2006-03-01 |
| Find all providers in CUMMING | ||||
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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.