Jada R. Olderman, MD

Pediatrics Physician · Duluth, GA

Individual Active NPI

NPI number 1417134545

Practice location

3650 Steve Reynolds Blvd
Kaiser Permanente Gwinnett Medical Center
Duluth, GA 30096-4506
Phone
(770) 931-6010

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NPI record

NPI
1417134545
Entity type
Individual (Type 1)
Enumeration date
January 31, 2008
Last updated
January 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 066159 GA
Pediatrics Physician 208000000X 002727 GA

Mailing address

3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone
(404) 364-7070

About Dr. Olderman

Jada R. Olderman, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506. The NPI number 1417134545 was assigned on January 31, 2008 and the record was last updated on January 7, 2022.

Dr. Olderman lists 2 licenses in the registry: #066159 (GA) for Pediatrics Physician; #002727 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jada R. Olderman, MD?

The NPI number is 1417134545.

What is the phone number of Dr. Olderman?

The phone number listed for the practice location is (770) 931-6010.

Where is Dr. Olderman located?

3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506.

What is the taxonomy code for Dr. Olderman?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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