NPI age
19 years
Enumerated 2006-07-30
● Active Type 2 · Organization
Tmc Children'S Healthcare Of West Georgia
Tmc Children'S Healthcare Of West Georgia is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dreiling
Senior Vp
Last NPPES update
2010-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
148 Clinic Ave
Carrollton, GA 301174414
Mailing address
148 Clinic Ave
Carrollton, GA 301174414
Authorized official
Dale Dreiling, M.D.
Senior Vp
📞 7708388038
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Nestor Baldizon, PA-C Physician Assistant NPI 1427049717
- Holley Beam, MD Pediatrics NPI 1972821148
- Lyndi Bowling, PNP Nurse Practitioner NPI 1730557869
- Caroline Colden, MD Pediatrics NPI 1942683818
- Steven Eubanks, M.D. Pediatrics NPI 1083651996
- Suzanne Manley, M.D. Pediatrics NPI 1659362127
- Keatrina Springer, CPNP Nurse Practitioner NPI 1255521647
- Tammy Stewart, PA-C Physician Assistant NPI 1356322424
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 300035885C | MEDICAID PAYEE |
| 01 (GA) | 300035885A | MEDICAID PAYEE |
| 01 (GA) | 300035885B | MEDICAID PAYEE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Children's Healthcare of West Georgia
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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