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PEDIATRIC ENDOCRINE ASSOCIATES PC NPI 1932389608


NPI Information

NPI: 1932389608
Provider Name: PEDIATRIC ENDOCRINE ASSOCIATES, PC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
1100 LAKE HEARN DR NE
SUITE 350
ATLANTA, GA
ZIP 30342
Phone: (404) 255-0015
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PEDIATRIC ENDOCRINE ASSOCIATES, PC is a pediatric endocrinology pediatrics in Atlanta, GA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PEDIATRIC ENDOCRINE ASSOCIATES, PC NPI is 1932389608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 LAKE HEARN DR NE
SUITE 350
ATLANTA, GA
ZIP 30342-523
Phone: (404) 255-0015
Fax: (404) 845-3080

The provider's authorized official is Mark A. Spangler .
The authorized official title is Practice Administrator and has the following contact phone number (404) 255-1267.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/16/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric Endocrinology25935GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194789982MEDICARE UPINGEORGIA
21386608404MEDICARE UPINGEORGIA
318949MEDICAIDGEORGIA
4F84999MEDICARE UPIN
5D41068MEDICARE UPINGEORGIA
61467532523MEDICARE UPINGEORGIA
71376507145MEDICARE UPINGEORGIA
800709541AMEDICAIDGEORGIA
9G65529MEDICARE UPINGEORGIA
1000313365AMEDICAIDGEORGIA
111619931490MEDICARE UPIN

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: 4/28/2024

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