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Contact Information

ALLIANCE PEDIATRIC PROVIDERS LLC
115 WESTRIDGE INDUSTRIAL BLVD
STE 380
MCDONOUGH, GA30253-4214
 Phone: 770-389-1525
 Fax: 470-300-3550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ALLIANCE PEDIATRIC PROVIDERS LLC

NPI # 1346738457
LBN Legal business name ALLIANCE PEDIATRIC PROVIDERS LLC
Authorized official KAREN PITMAN - (RN, DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2018
Last updated 08/25/2025 - About 9 months ago
Identifiers
GA License # 075-R-1954
GA Medicaid 003210228A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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