SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF GEORGIA, LLC (NPI# 1790018273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790018273 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF GEORGIA, LLC |
| Practice Address |
1199 Prince Ave Athens GA 30606-2797 |
| Mailing Address |
Po Box 452528 Sunrise FL 33345-2528 |
| Practice Telephone | 7064757000 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2015-02-27 |
| Authorized Official Name | DR. M. RICHARD AUERBACH (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013048776 | Victor Morales | Pediatrics | 1230 Baxter St, Athens, GA 30606-3712 | 2007-03-07 |
| 1033205471 | Zeba Dhalla Najak | Pediatrics | 1199 Prince Ave, Athens, GA 30606-2797 | 2006-10-05 |
| 1508822198 | Atul Khurana | Pediatrics | 1199 Prince Ave, Athens, GA 30606-2797 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356762553 | Edward D Conner Md PC | Pediatrics | 112 Gleneagles Cir, Macon, GA 31210-2943 | 2013-12-16 |
| 1962832444 | Georgia Neonatology LLC | Pediatrics | 124 Bradford Dr, Macon, GA 31210-1267 | 2013-11-19 |
| 1124348826 | Suneeti Gupta | Pediatrics | 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 | 2010-06-03 |
| 1225266745 | Jack Gibson Gray | Pediatrics | 135 Tamerlane, Peachtree City, GA 30269-2700 | 2009-06-23 |
| 1184851008 | Ima S Thompson | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2009-06-18 |
| 1528201027 | Sarita A. Patel | Pediatrics | 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 | 2009-04-13 |
| 1679730501 | Marietta Neonatology, P.C. | Pediatrics | 800 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-1051 | 2008-05-19 |
| 1598959124 | Danielle Cecelia Giliberti Kallmyer | Pediatrics | 1428 Markan Dr Ne, Atlanta, GA 30306-2305 | 2007-08-27 |
| 1477750818 | Angela Marie Fagiana | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-06-29 |
| 1710060256 | William Ranson Laforce | Pediatrics | 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 | 2006-10-20 |
| 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.