ATLANTA DIABETES ASSOCIATES – NPI #1487967360
Pediatrics

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Health Care Provider Taxonomy Code for Pediatrics

ATLANTA DIABETES ASSOCIATES is a provider located in ATLANTA, GA. NPPES has assigned the NPI number 1487967360 to ATLANTA DIABETES ASSOCIATES on July 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ATLANTA DIABETES ASSOCIATES” is a dba name, the actual legal business name for this organization is VAN METER PEDIATRIC ENDOCRINOLOGY. The primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was previously updated about 4 years ago on Jan 21, 2022. 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 ATLANTA DIABETES ASSOCIATES below.

NPI Profile for
VAN METER PEDIATRIC ENDOCRINOLOGY

NPI Number
1487967360
Enumeration Date

(about 16 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
VAN METER PEDIATRIC ENDOCRINOLOGY
Doing Business As (dba): ATLANTA DIABETES ASSOCIATES
Primary location
1800 HOWELL MILL RD NW STE 450
ATLANTA, GA 30318-2508
Phone: (678) 961-2100 Fax: (678) 961-2107
Mailing address
Same as primary location
Organization Subpart
Yes - ATLANTA DIABETES ASSOCIATES is subpart of another organization.
Authorized Official
BONNIE BIDLACK
CREDENTIALING
Phone: (404) 788-5237
Updated
Certification Date
Jan 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ATLANTA DIABETES ASSOCIATES

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
MEDICAIDGA000468234G
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
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)		 GA 061122

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.