Northside Children's Pediatric Center, LLC
NPI 1396945515ActiveOrganization· Pediatrics· Canton, GA
Pediatrics in Canton, Georgia, registered in NPPES in July 2007. The authorized official on file is Stephanie Heaton Anderson, DNP, PNP, RNC, Rn-Pnp, Member, And (Spouse Of Md).
Overview
| NPI | 1396945515 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2007 |
| Last updated in NPPES | Jan 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | GA 54532 | GA |
| Clinic/Center, Primary Care | 261QP2300X | GA PHYSICIAN 54532 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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