Provider Type Icon

OUR VILLAGE PEDIATRICS LLC NPI 1255952347


NPI Information

NPI: 1255952347
Provider Name: OUR VILLAGE PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2204425

Address:
115 ACADEMY ST
CANTON, GA
ZIP 30114
Phone: (470) 389-4970
Get Directions

OUR VILLAGE PEDIATRICS, LLC is a pediatrics in Canton, GA. The provider is 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. OUR VILLAGE PEDIATRICS, LLC NPI is 1255952347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 ACADEMY ST
CANTON, GA
ZIP 30114-860
Phone: (470) 389-4970

The provider's authorized official is Justin Glaeser .
The authorized official title is Office Manager and has the following contact phone number (470) 389-4970.

The CLIA number assigned to this NPI record is 11D2204425 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.


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
1208000000XPediatricsYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.