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PREMIER PEDIATRICS ASSOCIATES NPI 1386041457


NPI Information

NPI: 1386041457
Provider Name: PREMIER PEDIATRICS ASSOCIATES
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2090685

Address:
3200 HIGHLANDS PKWY SE
SMYRNA, GA
ZIP 30082
Phone: (770) 235-4926
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PREMIER PEDIATRICS ASSOCIATES is a pediatrics in Smyrna, 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. PREMIER PEDIATRICS ASSOCIATES NPI is 1386041457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 HIGHLANDS PKWY SE
SMYRNA, GA
ZIP 30082-166
Phone: (770) 235-4926
Fax: (888) 749-4745

The provider's authorized official is Tiffini Billingsly .
The authorized official title is Ceo-owner and has the following contact phone number (770) 235-4926.

The CLIA number assigned to this NPI record is 11D2090685 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.


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
1208000000XPediatrics66257GEORGIAYes

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

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