Tracy Ferguson
M.D. | Pediatrics | Female
Tracy Ferguson, M.D. is a Clarkston, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tracy Ferguson is
4112 E Ponce De Leon Ave, Clarkston, Georgia - 30021-8106. She can be contacted on phone at
404-296-7133 and fax number 404-296-7211.
Tracy Ferguson is a sole proprietor of her business.
NPI number (Unique professional ID) for Tracy Ferguson is
1922063734 which was assigned by NPPES on 18 Apr, 2006 and it was last updated on 13 Jan, 2022.
Tracy Ferguson license number is
054023 for Pediatrics (208000000X) in Georgia.
Tracy Ferguson is a pediatrician who 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.
Complete Profile:
Tracy Ferguson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Tracy Ferguson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Tracy Ferguson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-296-7133 |
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| Fax Number : | 404-296-7211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922063734 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Apr, 2006 |
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| Last Updated On : | 13 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tracy Ferguson are as mentioned. Primary taxonomy code for Tracy Ferguson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 054023 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Tracy Ferguson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 347582150A | MEDICAID | GA | |
| 347582150B | MEDICAID | GA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 2400 MOUNT ZION PKWY,
JONESBORO, GA, 30236-2500
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-296-7133 |
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| Fax Number : | 404-296-7211 |
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Business Location:
Patients can refer following map for directions to
Tracy Ferguson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.