Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jonathan Louis

Individual provider Pediatrics Physician · NPI 1801751383

Mr. Jonathan Louis is a Pediatrics Physician in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1745 Phoenix Blvd Ste 300-335
College Park, GA 30349-5591
Phone: (929) 884-5613
Fax: (347) 577-9445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 003291819A (GA)

Record details

NPI number1801751383
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address1745 Phoenix Blvd Ste 300-335, College Park, GA 30349-5591

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