PRIMECARE PEDIATRICS – NPI #1396905907
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.

Health Care Provider Taxonomy Code for Pediatrics

PRIMECARE PEDIATRICS is a provider located in NEWNAN, GA. NPPES has assigned the NPI number 1396905907 to PRIMECARE PEDIATRICS on June 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMECARE PEDIATRICS” is a dba name, the actual legal business name for this organization is PRIMECARE PEDIATRICS, P.C.. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Feb 09, 2019. 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 PRIMECARE PEDIATRICS below.

NPI Profile for
PRIMECARE PEDIATRICS, P.C.

NPI Number
1396905907
Enumeration Date

(about 18 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
PRIMECARE PEDIATRICS, P.C.
Doing Business As (dba): PRIMECARE PEDIATRICS
Primary location
15 BAYNARD PARK
NEWNAN, GA 30265
Phone: (770) 251-5253 Fax: (770) 251-5254
1 Other location(s):
3229 Highway 34 E
SUITE 103
Newnan, GA 30265-2195
Phone: (770) 251-5253
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRED TEGA
CHIEF EXECUTIVE
Phone: (770) 251-5253
Updated
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)

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.