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UNITED PEDIATRICS PC
NPI 1003119934
Pediatrics in Norcross, GA

Active since December 15, 2010CLIA 11D1007950 · Waiver
4775 JIMMY CARTER BLVD, SUITE 102, NORCROSS, GA 30093(770) 717-0033(770) 717-0028 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About United Pediatrics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITED PEDIATRICS PC (NPI 1003119934) is a healthcare organization registered as a pediatrics in Norcross, Georgia and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Tayaba Fatema, Owner, as its authorized official.

NPPES Registry Identity

NPI1003119934
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUNITED PEDIATRICS PC
Location Address4775 JIMMY CARTER BLVD, SUITE 102Norcross, GA 30093-3760
Mailing Address4775 Jimmy Carter Blvd, Suite 102Norcross, GA 30093-3760 · (770) 717-0033 · Fax (770) 717-0028
Phone(770) 717-0033
Fax(770) 717-0028
Organization SubpartNo
Authorized OfficialTayaba FatemaOwner · (770) 717-0033
Enumeration DateDecember 15, 2010
✔ NPI 1003119934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 045783
Definition

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.

4775 JIMMY CARTER BLVD, Norcross, GA 30093
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1007950

United Pediatrics PC · Lawrenceville, GA
Active · expires Jan 6, 2027
CLIA Number11D1007950
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorTayaba Fatema
Laboratory Phone(770) 717-0033
Laboratory LocationUnited Pediatrics PC3305 Sugarloaf Parkway, Lawrenceville, GA 30044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMA LYNN SYROP M.D.
Family Medicine
4775 JIMMY CARTER BLVD, STE. 201
NORCROSS, GA 30093
Gwinnett County (770) 638-8899
CHESTER A BURKS MD
Obstetrics & Gynecology
4775 JIMMY CARTER BLVD, SUITE 101
NORCROSS, GA 30093
Gwinnett County (770) 638-8446
GEORGIA CENTER FOR FEMALE HEALTH LLC
Obstetrics & Gynecology
4775 JIMMY CARTER BLVD, STE 300
NORCROSS, GA 30093
Gwinnett County (770) 638-8446
TONG M HUYNH MD
Family Medicine
4775 JIMMY CARTER BLVD, STE 201
NORCROSS, GA 30093
Gwinnett County (470) 275-4911
GWINNETT URGENT AND FAMILY CARE, LLC
Clinic/Center
4775 JIMMY CARTER BLVD, SUITE 201
NORCROSS, GA 30093
Gwinnett County (470) 275-4911
CAROL C WONG NP-C
Nurse Practitioner
4775 JIMMY CARTER BLVD, SUITE 201
NORCROSS, GA 30093
Gwinnett County (470) 275-4911
TAYABA FATEMA MD
Pediatrics
4775 JIMMY CARTER BLVD, STE 101
NORCROSS, GA 30093
Gwinnett County (770) 717-0033

Frequently Asked Questions

What is UNITED PEDIATRICS PC's NPI number?

The NPI number assigned to this healthcare provider is 1003119934, enumerated as an "organization" on December 15, 2010.

Where is the provider located?

The provider is located at 4775 JIMMY CARTER BLVD SUITE 102 NORCROSS, GA 30093 and the phone number is (770) 717-0033.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does UNITED PEDIATRICS PC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.