Kidcare Pediatrics
LBN: Kidcare Pediatrics
Kidcare Pediatrics is an health care organization with primary practice located at 2565 Jolly Rd Ste A , College Park GA 30349-3103. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Managed Care Organizations / Exclusive Provider Organization. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Kidcare Pediatrics can be contacted via phone (404) 765-9437, or through Daniels, Chauncey via phone (404) 765-9437.
Contact Information
Primary practice address
2565 Jolly Rd Ste A
College Park GA 30349-3103
Phone: (404) 765-9437
Fax: (404) 669-9347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 027494 | Georgia |
Profile Details
| NPI number | 1871689265 |
|---|---|
| LBN Legal business name | Kidcare Pediatrics |
| DBA Doing business as | |
| Authorized official | Daniels, Chauncey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 16th, 2020 - about 6 years ago |
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 | 1871689265 | NPPES |
| Georgia | MEDICAID | 000359675G |
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