ENDOHEALTH


Address: 1690 Stone Village Ln Nw Ste 207, Kennesaw, GA 30152-7778
Phone: 6788296030

ENDOHEALTH (NPI# 1710428305) 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) 1710428305
Entity Type Organization
Organization Name ENDOHEALTH
Practice Address 1690 Stone Village Ln Nw Ste 207
Kennesaw
GA 30152-7778
Mailing Address 240 Glen Lake Dr
Atlanta
GA 30327-4818
Practice Telephone 6788296030
Enumeration Date 2017-03-15
Last Update Date 2017-03-31
Authorized Official Name DR. GAYATHRI K DEVINENI (DR)
Authorized Official Telephone 6788296030
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
061573 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA NUPIN 1619154184 01

Office Location

Street Address 1690 STONE VILLAGE LN NW STE 207
City KENNESAW
State GA
Zip Code 30152-7778

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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/certification
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619154184 Gayathri Devineni Pediatrics 1690 Stone Village Ln Nw, #207, Kennesaw, GA 30152-7776 2008-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366739229 Hiba Fadoul Pediatrics 5545 Meridian Mark Rd, Sandy Springs, GA 30342 2011-06-29
1437443678 Sobenna George Pediatrics 1400 Tullie Rd Ne Ste 8243, Atlanta, GA 30329-2309 2011-06-06
1366763112 Jessica Rae Hutchins Pediatrics 1062 Forsyth St Ste 2d, Macon, GA 31201-8639 2010-06-16
1992033849 Brooke S Anderson Pediatrics 610 Winnmark Dr, Roswell, GA 30076-5524 2009-12-03
1841446408 Anil Piya Pediatrics 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 2008-08-14
1467532523 Constance Baldwin Pediatrics 1100 Lake Hearn Dr Ne Ste 350, Atlanta, GA 30342-1551 2006-10-16
1245265453 Quentin L Vanmeter Pediatrics 1800 Howell Mill Road Nw, Suite 475, Atlanta, GA 30318-2538 2006-07-12
1659347102 Tarek Bisat Pediatrics 1062 Forsyth St Ste 210, Macon, GA 31201-8637 2006-02-24
1841287331 Natavut Punyasavatsut Pediatrics 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 2005-09-30
1356735914 Jacqueline Chan Pediatrics 1120 15th St, Augusta, GA 30912-7232 2015-03-22
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Competitor

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City KENNESAW
Zip Code 30152

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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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