AGC PEDIATRICS LLC NPI 1851708242

NPI Information

NPI: 1851708242
Provider Name: AGC PEDIATRICS, LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 11D0957481

Address:
5 MEDICAL DR NE
CARTERSVILLE, GA
ZIP 30121
Phone: (706) 625-5900
Get Directions

AGC PEDIATRICS, LLC is a pediatrics nurse practitioner in Cartersville, GA. AGC PEDIATRICS, LLC NPI is 1851708242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 MEDICAL DR NE
CARTERSVILLE, GA
ZIP 30121-003
Phone: (706) 625-5900

The provider's authorized official is John Joyave .
The authorized official title is Controller and has the following contact phone number (706) 625-5900.

The CLIA number assigned to this NPI record is 11D0957481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2014 and was last updated on 5/12/2020.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	RN211260	GEORGIA	Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »