Organization
KIDCARE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAUNCEY DANIELS (CEO)
(404) 765-9437
Entity
Organization
Contact information
Practice address
910 DANNON VW SW STE 2101, ATLANTA, GA 30331-2156
(404) 691-6100
(404) 691-6959
Mailing address
910 DANNON VW SW STE 2101, ATLANTA, GA 30331-2156
(404) 691-6100
(404) 691-6959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
302R00000X
Health Maintenance Organization
057447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000359675H
—
GA
Enumeration date
10/06/2006
Last updated
09/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us