MEDICARE: PIEDMONT PEDIATRICS URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1518804749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIEDMONT PEDIATRICS URGENT CARE LLC

Provider Business Mailing Address
First Line	:	2021 PEACHTREE RD NE STE 400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1983
Country	:	US
Telephone Number	:	404-351-6683
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 PEACHTREE RD NE STE 400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1983
Country	:	US
Telephone Number	:	404-351-6683
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	NIAIRA TAYLOR
Credential	:
Telephone Number	:	404-351-6662

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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