NUESTROS NINOS OUR KIDS PEDIATRICS PC NPI 1205819737

NPI Information

  • NPI: 1205819737
  • Provider Name: NUESTROS NINOS OUR KIDS PEDIATRICS PC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 393 MAXHAM RD
    SUITES A&B
    AUSTELL, GA
    ZIP 30168
  • Phone: (770) 732-6007

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NPI Details

NUESTROS NINOS OUR KIDS PEDIATRICS PC is a family nurse practitioner in Austell, GA. NUESTROS NINOS OUR KIDS PEDIATRICS PC NPI is 1205819737. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

393 MAXHAM RD
SUITES A&B
AUSTELL, GA
ZIP 30168-539
Phone: (770) 732-6007
Fax: (770) 732-8242

The provider's authorized official is Mary Elizabeth Cahill .
The authorized official title is Ownerceo and has the following contact phone number (770) 732-6007.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsRN083997GEORGIANo
2363LF0000XNurse PractitionerFamilyRN170709GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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