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Katelyn Sturdivant Obrien

Pediatrics β€’ Dalton, GA

Active NPI 1932795002 Individual Practitioner Female Practitioner
Practice location in NPPES

1933 Shields Rd
Dalton, GA 307205069

Call 7062786628 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1933 Shields Rd

Dalton, GA 307205069

Telephone 7062786628
Organization at the Same NPPES Address or Phone
Peds Care P.c. Facility NPI 1679730717

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dalton and Georgia

33 active clinicians are listed under Pediatrics with a practice address in Dalton, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dalton

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 101058

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 24, 2024

Registered at 1933 SHIELDS RD, DALTON, GA 307205069 (Tel: 7062786628)

πŸ“
Updated Business Mailing Address May 24, 2024

Registered at 1933 SHIELDS RD, DALTON, GA 307205069 (Tel: 7062786628)

πŸ‘€
Provider Name / Credentials Updated May 24, 2024

Recorded as KATELYN OBRIEN

βœ…
NPI Profile Active December 14, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 14, 2020

Registered at 33 W 11TH ST, COLUMBUS, GA 319015225 (Tel: 8006372378)

πŸ“
Business Mailing Address (Initial Record) December 14, 2020

Registered at 33 W 11TH ST, COLUMBUS, GA 319015225

πŸ‘€
Provider Name / Credentials (Initial Record) December 14, 2020

Recorded as KATELYN STURDIVANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 14, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932795002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2020
Last Update: August 20, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Dalton

Healthcare providers in Dalton

Mailing Address

1933 Shields Rd

Dalton, GA 307205069

Phone: 7062786628

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.