PARKWAY MEDICAL CLINIC – NPI #1306083324
Pediatrics

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.

PARKWAY MEDICAL CLINIC is a provider located in JONESBORO, GA. NPPES has assigned the NPI number 1306083324 to PARKWAY MEDICAL CLINIC on January 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PARKWAY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is SHIVASHANKER PC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARKWAY MEDICAL CLINIC below.

NPI Profile for
SHIVASHANKER PC

NPI Number
1306083324
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHIVASHANKER PC
Doing Business As (dba): PARKWAY MEDICAL CLINIC
Primary location
7695 HIGHPOINT DR
JONESBORO, GA 30236
Phone: (404) 361-3100 Fax: (404) 361-3141
Mailing address
406 FOREST PKWY
STE A
FOREST PARK, GA 30297-2190
Phone: (404) 361-3100 Fax: (404) 361-3141
Organization Subpart
No
Authorized Official
VALENCIA FLOURNOY
ADMINISTRATOR
Phone: (404) 579-2188
Updated
Identifiers

Identifiers for PARKWAY MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000477287K
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
GA 034881

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.