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DACULA PEDIATRICS, LLC
NPI 1033655576
Pediatrics in Dacula, GA

Active since January 08, 2017CLIA 11D2125685 · Waiver
3625 BRASELTON HWY, SUITE 202, DACULA, GA 30019(770) 856-2363(770) 809-5055 Get Directions Write a Review

NPPES record last updated: January 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dacula Pediatrics, Llc NPPES

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

DACULA PEDIATRICS, LLC (NPI 1033655576) is a healthcare organization registered as a pediatrics in Dacula, Georgia and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Sarvpreet Kaur, Owner, as its authorized official.

NPPES Registry Identity

NPI1033655576
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDACULA PEDIATRICS, LLC
Location Address3625 BRASELTON HWY, SUITE 202Dacula, GA 30019-1014
Mailing Address3234 Islesworth TrceDuluth, GA 30097-6288 · (678) 417-9509 · Fax (770) 809-5055
Phone(770) 856-2363
Fax(770) 809-5055
Organization SubpartNo
Authorized OfficialSarvpreet KaurOwner · (678) 517-5607
Enumeration DateJanuary 8, 2017
✔ NPI 1033655576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 058358
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.

3625 BRASELTON HWY, Dacula, GA 30019
Open in Google Maps ↗

Other Identifiers 2

Other1629191465GA · Provider Npi Number
Medicaid904800152BGA

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 11D2125685

Dacula Pediatrics · Dacula, GA
Active · expires Feb 12, 2027
CLIA Number11D2125685
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorSarvpreet Kaur
Laboratory Phone(470) 655-7166
Laboratory LocationDacula Pediatrics3625 Braselton Highway, Suite 202, Dacula, GA 30019
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

EUGENE DAVID PFAFF ATC
Specialist/Technologist (Athletic Trainer)
3625 BRASELTON HWY, SUITE 204
DACULA, GA 30019
Gwinnett County (770) 271-7492
DR. BRIAN ALEXANDER PUGH DMD
Dentist (Endodontics)
3625 BRASELTON HWY, SUITE 101
DACULA, GA 30019
Gwinnett County (770) 614-9467
DR. DANIEL RAY JONES D.D.S.
Dentist (General Practice)
3625 BRASELTON HWY, SUITE 103
DACULA, GA 30019
Gwinnett County (678) 318-3191
DR. BRITTANY JONES POTTER D.M.D.
Dentist (General Practice)
3625 BRASELTON HWY, #103
DACULA, GA 30019
Gwinnett County (678) 318-3191
NICHOLAS ROY FRADY PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
THOMAS EDWARD JACKSON PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
TYLER JOSEPH MUSSELWHITE PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
GLOICIE DARLENE PRUITT PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521

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 Dacula Pediatrics, LLC's NPI number?

The NPI number for Dacula Pediatrics, LLC is 1033655576. It was assigned to this organization in the NPPES registry on January 8, 2017.

Where is Dacula Pediatrics, LLC located?

Dacula Pediatrics, LLC is located at 3625 Braselton Hwy Suite 202, Dacula, GA 30019. The listed phone number is (770) 856-2363.

What is Dacula Pediatrics, LLC's specialty?

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

Does Dacula Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2125685) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dacula Pediatrics, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dacula Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dacula Pediatrics, LLC was last updated on January 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.