ATHEN KIDS SPECIALISTS P.C (NPI# 1881757193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881757193 |
| Entity Type | Organization |
| Organization Name | ATHEN KIDS SPECIALISTS P.C |
| Practice Address |
650 Oglethorpe Ave. Ste 4 Athens GA 30303-2216 |
| Practice Telephone | 7065439899 |
| Practice Fax Number | 9562831889 |
| Mailing Telephone | 7065439899 |
| Mailing Fax Number | 9562831889 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPHINE T. LOPEZ (OWNER) |
| Authorized Official Telephone | 7065439899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10056366 | 01 |
| GA | UNITED HEALTH CARE | 8668423278 | 01 |
| GA | BC BS OF GA | 197380 | 01 |
| GA | WELLCARE | 341305 | 01 |
| Street Address |
650 OGLETHORPE AVE. STE 4 |
| City | ATHENS |
| State | GA |
| Zip Code | 30303-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| 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 |
|---|---|---|---|---|
| 1275950420 | Meredith Grace Merkley | Pediatrics | 6561 Lemaster Rd, Athens, OH 45701-9134 | 2014-03-26 |
| 1356661599 | Amy Marie Zidron | Pediatrics | 24 W Green Dr Ste 329, Athens, OH 45701-2974 | 2010-06-10 |
| 1003131244 | James Nicholas Frisk | Pediatrics | 125 Telfair Pl, Athens, GA 30606-3237 | 2010-03-31 |
| 1982898383 | Victor E Payton Md, PC | Pediatrics | 700 Oglethorpe Ave # 3, Athens, GA 30606-2221 | 2007-08-29 |
| 1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
| 1346303575 | Christian D Lindsey | Pediatrics | 1500 Oglethorpe Ave Ste 600a, Athens, GA 30606-2185 | 2006-12-19 |
| 1386726446 | Bibi Lee Teng | Pediatrics | 1005 West Market Street, Suite 4, Athens, AL 35611 | 2006-10-19 |
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1750306429 | Venkatappa N Murthy | Pediatrics | 555 Research Dr, Athens, GA 30605-2729 | 2006-07-13 |
| 1417972126 | James R Swails | Pediatrics | 1500 Oglethorpe Ave Ste 600ef, Athens, GA 30606-2179 | 2006-07-13 |
| Find all providers in ATHENS | ||||
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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.