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CRESCENT PEDIATRICS NPI 1851494447


NPI Information

NPI: 1851494447
Provider Name: CRESCENT PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2925 PREMIERE PKWY
SUITE 140
DULUTH, GA
ZIP 30097
Phone: (770) 495-6222
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CRESCENT PEDIATRICS is a pediatrics in Duluth, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CRESCENT PEDIATRICS NPI is 1851494447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2925 PREMIERE PKWY
SUITE 140
DULUTH, GA
ZIP 30097
Phone: (770) 495-6222
Fax: (770) 495-9959

The provider's authorized official is William Moneit .
The authorized official title is President and has the following contact phone number (770) 495-6222.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 2/1/2011.


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
1173000000XLegal Medicine034204GEORGIANo
2208000000XPediatrics034204GEORGIAYes

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
152062819002OTHERGEORGIABC
237BBFRTMEDICARE ID-TYPE UNSPECIFIED
3000449611CMEDICAIDGEORGIA
472291OTHERCOVENTRY
510037067OTHERAMERIGROUP
6313452OTHERWELLCARE
7E74221MEDICARE UPINGEORGIA
885001694GMEDICAIDGEORGIA
94308928OTHERGEORGIAAETNA
10912801OTHERCIGNA
111207077OTHERUNITED HEALTHCARE

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

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