Alliance Pediatric Providers Llc
LBN: Alliance Pediatric Providers Llc
Alliance Pediatric Providers Llc is an health care organization with primary practice located at 115 Westridge Industrial Blvd Ste 380, Mcdonough GA 30253-4214. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / Nursing Care is the primary health care specialty.
Alliance Pediatric Providers Llc can be contacted via phone (770) 389-1525, or through Pitman, Karen Lynne via phone (770) 389-1525.
Contact Information
Primary practice address
115 Westridge Industrial Blvd Ste 380
Mcdonough GA 30253-4214
Phone: (770) 389-1525
Fax: (470) 300-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | 075-R-1954 | Georgia |
| Agencies / In Home Supportive Care | 253Z00000X | 075-R-1954 | Georgia |
Profile Details
| NPI number | 1346738457 |
|---|---|
| LBN Legal business name | Alliance Pediatric Providers Llc |
| DBA Doing business as | |
| Authorized official | Pitman, Karen Lynne Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2018 |
| Last updated | Aug 25th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346738457 | NPPES |
| Georgia | MEDICAID | 003210228A |
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