NEONATAL SPECIALIST OF GEORGIA NPI 1578843454

NPI Information

NPI: 1578843454
Provider Name: NEONATAL SPECIALIST OF GEORGIA
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 921-4492
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NEONATAL SPECIALIST OF GEORGIA is a neonatal-perinatal medicine pediatrics in Lawrenceville, GA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NEONATAL SPECIALIST OF GEORGIA NPI is 1578843454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30046-693
Phone: (770) 921-4492
Fax: (770) 696-3358

The provider's authorized official is Leslie Dennis Leigh .
The authorized official title is President and has the following contact phone number (770) 921-4492.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 8/23/2011.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	52412187	OTHER		SUSKIN @ BLUE CROSS
2	52051429	OTHER		LEIGH @ BLUE CROSS
3	803486775I	MEDICAID	GEORGIA
4	2504776	OTHER		SUSKIN @ AETNA
5	000700983F	MEDICAID	GEORGIA
6	083668065M	MEDICAID	GEORGIA
7	10052477	MEDICAID	GEORGIA
8	322063	MEDICAID	GEORGIA
9	2504633	OTHER		LEIGH @ AETNA
10	117063	OTHER	GEORGIA	LEIGH @ PEACHSTATE
11	117057	MEDICAID	GEORGIA
12	803486775F	MEDICAID	GEORGIA
13	322060	OTHER	GEORGIA	LEIGH @ WELLCARE
14	803486775G	MEDICAID	GEORGIA
15	083668065J	MEDICAID	GEORGIA
16	000700983D	MEDICAID	GEORGIA
17	083668065K	MEDICAID	GEORGIA
18	10052477	OTHER	GEORGIA	LEIGH @ AMERIGROUP
19	000700983B	MEDICAID	GEORGIA
20	000593425G	MEDICAID	GEORGIA
21	000593425C	MEDICAID	GEORGIA
22	000593425D	MEDICAID	GEORGIA

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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