PEDIATRIC ENDOCRINE ASSOCIATES, PC (NPI# 1932389608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932389608 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ENDOCRINE ASSOCIATES, PC |
| Practice Address |
1100 Lake Hearn Dr Ne Suite 350 Atlanta GA 30342-1523 |
| Practice Telephone | 4042550015 |
| Practice Fax Number | 4048453080 |
| Mailing Telephone | 4042550015 |
| Mailing Fax Number | 4048453080 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | MR. MARK A. SPANGLER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4042551267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
25935 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00709541A | 05 | |
| GA | 00313365A | 05 | |
| GA | 18949 | 05 |
| Street Address |
1100 LAKE HEARN DR NE SUITE 350 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412235 | North Atlanta Pediatric Associates, P.C. | Specialist | 1100 Lake Hearn Dr Ne, Ste. 100, Atlanta, GA 30342-1523 | 2005-10-28 |
| 1861837676 | Ellen Patricia Madden | Nurse Practitioner | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2013-05-07 |
| 1932474467 | Adriana Sanchez Hall | Nurse Practitioner | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2012-03-16 |
| 1710208996 | Brenda S. Laughlin | Registered Nurse | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2010-06-22 |
| 1033446836 | Courtney Leigh Pittman | Chronic Disease Hospital | 1100 Lake Hearn Dr Ne, Suite 160, Atlanta, GA 30342-1523 | 2009-11-16 |
| 1417283094 | Arnold Zweig | Otolaryngology | 1100 Lake Hearn Dr Ne, Suite 410, Atlanta, GA 30342-1523 | 2009-11-02 |
| 1841526829 | Pediatric Endocrine Associates II LLC | Pediatrics | 1100 Lake Hearn Dr Ne, Suite 350, Atlanta, GA 30342-1523 | 2009-10-26 |
| 1316183478 | Sarah Alicia Magrisso | Registered Nurse | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2008-12-19 |
| 1508002650 | Tracey Victor | Registered Nurse | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2008-12-19 |
| 1043456197 | Chanel Shelton Johnson | Registered Nurse | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2008-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437443678 | Sobenna George | Pediatrics | 1400 Tullie Rd Ne Ste 8243, Atlanta, GA 30329-2309 | 2011-06-06 |
| 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 |
| 1841287331 | Natavut Punyasavatsut | Pediatrics | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2005-09-30 |
| 1467871293 | Malinda Wu | Pediatrics | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2014-04-09 |
| 1679990832 | Shruthi Arora | Pediatrics | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2014-03-26 |
| 1942576848 | Kristina Cossen | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2012-03-26 |
| 1831499409 | Leonidas Panagiotakopoulos | Pediatrics | 2015 Uppergate Dr, Department of Pediatric Endocrinology, Atlanta, GA 30322-1014 | 2010-10-28 |
| 1487967360 | Van Meter Pediatric Endocrinology, PC | Pediatrics | 1800 Howell Mill Rd Nw, Suite 475, Atlanta, GA 30318-2538 | 2010-07-20 |
| 1841526829 | Pediatric Endocrine Associates II LLC | Pediatrics | 1100 Lake Hearn Dr Ne, Suite 350, Atlanta, GA 30342-1523 | 2009-10-26 |
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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.