NORTH FULTON PEDIATRICS
NPI 1083669063
Pediatrics in Roswell, GA

NPI Status: Active since May 24, 2006

Contact Information

1285 HEMBREE RD
SUITE 100
ROSWELL, GA
ZIP 30076
Phone: (770) 442-1050
Fax: (770) 475-1621

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  • Organization
  • Pediatrics
  • CLIA Number: 11D0692396
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-14-2025

About NORTH FULTON PEDIATRICS

This page provides the complete NPI Profile along with additional information for North Fulton Pediatrics, a pediatrician established in Roswell, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1083669063 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Linda G. Rickey C.o.e. (Practice Administrator)

NPI
1083669063
Provider Name
NORTH FULTON PEDIATRICS
Entity Type
Organization
Location Address
1285 HEMBREE RD SUITE 100 ROSWELL, GA 30076
Location Phone
(770) 442-1050
Location Fax
(770) 475-1621
Mailing Address
1285 HEMBREE RD SUITE 100 ROSWELL, GA 30076
Mailing Phone
(770) 442-1050
Mailing Fax
(770) 475-1621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
08-22-2020
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A pediatrician like North Fulton Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LINDA G. RICKEY C.O.E.

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(678) 893-7550

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0692396
Facility Type
Physician Office
Certificate Effective Date
July 15, 2023
Certificate Expiration Date
July 14, 2025
Laboratory Director
GERALD H. CLARK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Fulton Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083669063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016312618012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 2 + 6 + 1 + 8 + 0 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1083669063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053317917 LAURA M. ZUCKER M.D.
Individual
Pediatrics (Adolescent Medicine)1285 HEMBREE RD
ROSWELL, GA 30076
(770) 442-1050
1386640241 GERALD H. CLARK M.D.
Individual
Pediatrics (Adolescent Medicine)1285 HEMBREE RD STE 100
ROSWELL, GA 30076
(770) 442-1050
1720084684 RICHARD A. LEVITT M.D.
Individual
Pediatrics (Adolescent Medicine)1285 HEMBREE RD STE 100
ROSWELL, GA 30076
(770) 442-1050
1073519930 JODI M. GREENWALD M.D.
Individual
Pediatrics (Adolescent Medicine)1285 HEMBREE RD STE 100
ROSWELL, GA 30076
(770) 442-1050
1174518849DR. HERSCHEL I BEKER M.D.
Individual
Orthopaedic Surgery1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1881680460DR. JEFFREY J ALBERT M.D.
Individual
Orthopaedic Surgery1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1568458545DR. RONALD A HALL M.D.
Individual
Orthopaedic Surgery1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1275520835DR. EDWARD H. HOLLIGER M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1467449801DR. MARK S. MCBRIDE M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1629065909DR. GLENN D. LANE M.D.
Individual
Orthopaedic Surgery1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1417944273DR. RUSSELL L. SABRIN M.D.
Individual
Orthopaedic Surgery1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1124016910DR. JASON A. SCHNEIDER M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1548258353DR. DAVID G. SCOTT M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1619942737 SCOTT T. BECKER PA
Individual
Physician Assistant (Medical)1285 HEMBREE RD SUITE 200-A
ROSWELL, GA 30076
(770) 475-2710
1881661262 DEBORAH A. JOHNSTON OT
Individual
Occupational Therapist1285 HEMBREE RD SUITE 200D
ROSWELL, GA 30076
(770) 772-5540
1538122510 LUZ ANGELA AYALDE PT
Individual
Physical Therapist1285 HEMBREE RD SUITE 200-D
ROSWELL, GA 30076
(770) 772-5540
1245293976 KIMBERLEY A. MAHONEY PT
Individual
Physical Therapist (Orthopedic)1285 HEMBREE RD SUITE 200-D
ROSWELL, GA 30076
(770) 772-5540
1720042450 PATRICK C. TANNER AT-C
Individual
Specialist/Technologist (Athletic Trainer)1285 HEMBREE RD SUITE 200-D
ROSWELL, GA 30076
(770) 772-5540
1043253107 RICHARD MARTIN SZABO M.D.
Individual
Pediatrics1285 HEMBREE RD SUITE 100
ROSWELL, GA 30076
(770) 442-1050
1962593780MRS. PATRICIA ANN MUSTO P.N.P.
Individual
Registered Nurse (Pediatrics)1285 HEMBREE RD SUITE 100
ROSWELL, GA 30076
(770) 442-1050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083669063, enumerated in the NPI registry as an "organization" on May 24, 2006

The provider is located at 1285 Hembree Rd Suite 100 Roswell, Ga 30076 and the phone number is (770) 442-1050

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 11D0692396 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.