PEDIATRICS AND ADULT MEDICINE INC.


Address: 4153 Flat Shoals Pkwy Bld C, Suite 300b, Decatur, GA 30034-4106
Phone: 4043866510

PEDIATRICS AND ADULT MEDICINE INC. (NPI# 1598125312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598125312
Entity Type Organization
Organization Name PEDIATRICS AND ADULT MEDICINE INC.
Practice Address 4153 Flat Shoals Pkwy Bld C
Suite 300b
Decatur
GA 30034-4106
Practice Telephone 4043866510
Practice Fax Number 4045002097
Mailing Telephone 4043866510
Mailing Fax Number 4045002097
Enumeration Date 2016-03-07
Last Update Date 2017-03-03
Authorized Official Name MS. MICHELE SEWELL (OWNER)
Authorized Official Telephone 7706397993
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 4153 FLAT SHOALS PKWY BLD C
SUITE 300B
City DECATUR
State GA
Zip Code 30034-4106

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1164916813 Lenina O Chi-ukpai Nurse Practitioner 2942 Secretariat Ct, Decatur, GA 30034 2018-06-17
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1194120956 Tricia Salmon Anderson Clinic/Center 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 2014-10-22
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1295175909 Oakhurst Pediatrics, LLC Clinic/Center 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368 2013-06-26
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Competitor

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City DECATUR
Zip Code 30034

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Dataset Information

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.

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