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STOCKBRIDGE PEDIATRICS
NPI 1033374103
Pediatrics in Stockbridge, GA

Active since July 28, 2008CLIA 11D0921499 · Waiver
239 VILLAGE CENTER PKWY, SUITE 110, STOCKBRIDGE, GA 30281(770) 506-0095(770) 506-8060 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stockbridge Pediatrics NPPES

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

STOCKBRIDGE PEDIATRICS (NPI 1033374103) is a healthcare organization registered as a pediatrics in Stockbridge, Georgia and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Marixie Leonor-gilrane, Physician, as its authorized official.

NPPES Registry Identity

NPI1033374103
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTOCKBRIDGE PEDIATRICS
Location Address239 VILLAGE CENTER PKWY, SUITE 110Stockbridge, GA 30281-9024
Mailing Address239 Village Center Pkwy, Suite 110Stockbridge, GA 30281-9024 · (770) 506-0095 · Fax (770) 506-8060
Phone(770) 506-0095
Fax(770) 506-8060
Organization SubpartNo
Authorized OfficialMarixie Leonor-gilranePhysician · (770) 506-0095
Enumeration DateJuly 28, 2008
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1033374103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 023757
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.
239 VILLAGE CENTER PKWY, Stockbridge, GA 30281
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Other Identifiers 2

Medicare UPIND17568GA
Medicare UPIN000576122DGA

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

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 11D0921499

Stockbridge Pediatrics PC · Stockbridge, GA
Active · expires Apr 16, 2028
CLIA Number11D0921499
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorMarixie Q. Leonor Gilrane MD
Laboratory Phone(770) 506-0095
Laboratory LocationStockbridge Pediatrics PC239 Village Center Parkway Suite 110, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. MINDY SUNGMIN GIL DMD, DMSC
Dentist (Periodontics)
239 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 289-0382
MARIXIE Q LEONOR-GILRANE MD
Pediatrics
239 VILLAGE CENTER PKWY, SUITE 110
STOCKBRIDGE, GA 30281
Henry County (770) 506-0095
RAGAN L FALER, DMD, PC
Dentist (Periodontics)
239 VILLAGE CENTER PKWY, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0382
RAGAN L FALER DMD PC
Dentist (Periodontics)
239 VILLAGE CENTER PKWY, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0382

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 Stockbridge Pediatrics's NPI number?

The NPI number for Stockbridge Pediatrics is 1033374103. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Stockbridge Pediatrics located?

Stockbridge Pediatrics is located at 239 Village Center Pkwy Suite 110, Stockbridge, GA 30281. The listed phone number is (770) 506-0095.

What is Stockbridge Pediatrics's specialty?

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

Does Stockbridge Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0921499) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stockbridge Pediatrics was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.