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LIFE CYCLE PEDIATRICS, LLC
NPI 1003584327
Pediatrics in Riverdale, GA

Active since September 01, 2021
150 MEDICAL WAY STE B, RIVERDALE, GA 30274(770) 692-2800(770) 692-2804 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Cycle Pediatrics, Llc NPPES

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

LIFE CYCLE PEDIATRICS, LLC (NPI 1003584327) is a healthcare organization registered as a pediatrics in Riverdale, Georgia and active in the NPI registry since September 2021. The organization lists Gwendolyn Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003584327
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIFE CYCLE PEDIATRICS, LLC
Location Address150 MEDICAL WAY STE BRiverdale, GA 30274-2533
Mailing Address2739 Felton DrEast Point, GA 30344-3603 · (404) 766-8371 · Fax (404) 767-3926
Phone(770) 692-2800
Fax(770) 692-2804
Organization SubpartNo
Authorized OfficialGwendolyn WilliamsOffice Manager · (404) 228-0601
Enumeration DateSeptember 1, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1003584327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
150 MEDICAL WAY STE B, Riverdale, GA 30274
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Other Identifiers 1

Medicaid1578526539GA

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Cycle Pediatrics, LLC's NPI number?

The NPI number for Life Cycle Pediatrics, LLC is 1003584327. It was assigned to this organization in the NPPES registry on September 1, 2021.

Where is Life Cycle Pediatrics, LLC located?

Life Cycle Pediatrics, LLC is located at 150 Medical Way Ste B, Riverdale, GA 30274. The listed phone number is (770) 692-2800.

What is Life Cycle Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Life Cycle Pediatrics, LLC was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.