Healthcare Provider Details

I. General information

NPI: 1518804749
Provider Name (Legal Business Name): PIEDMONT PEDIATRICS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 PEACHTREE RD NE STE 400
ATLANTA GA
30309-1983
US

IV. Provider business mailing address

2021 PEACHTREE RD NE STE 400
ATLANTA GA
30309-1983
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-6683
  • Fax:
Mailing address:
  • Phone: 404-351-6683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NIAIRA TAYLOR
Title or Position: PRACTICE MANAGER
Credential:
Phone: 404-351-6662