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PRIME PEDIATRICS PC
NPI 1053578450
Pediatrics - Adolescent Medicine in Dalton, GA

Active since May 22, 2008CLIA 11D0976863 · Certificate of Compliance
1610 BROADRICK DR, DALTON, GA 30720(706) 279-1994(706) 279-9229 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Pediatrics Pc NPPES

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

PRIME PEDIATRICS PC (NPI 1053578450) is a healthcare organization registered as an adolescent medicine in Dalton, Georgia and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through November 1, 2026 and lists Debbie W Chadwick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053578450
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePRIME PEDIATRICS PC
Location Address1610 BROADRICK DRDalton, GA 30720-3012
Mailing Address1610 Broadrick DrDalton, GA 30720-3012 · (706) 279-1994 · Fax (706) 279-9229
Phone(706) 279-1994
Fax(706) 279-9229
Organization SubpartNo
Authorized OfficialDebbie W ChadwickOffice Manager · (706) 279-1994
Enumeration DateMay 22, 2008
✔ NPI 1053578450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in GA · 37896
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1610 BROADRICK DR, Dalton, GA 30720
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Other Identifiers 4

Medicaid964266319AGA
Medicaid000910214AGA
Medicaid803486775AGA
Medicaid000572525CGA

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 Alliant Health Plans, Inc..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 Compliance 11D0976863

Prime Pediatrics PC · Dalton, GA
Active · expires Nov 1, 2026
CLIA Number11D0976863
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorAyman Rifai
Laboratory Phone(706) 279-1994
Laboratory LocationPrime Pediatrics PC1610 Broadrick Drive, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

SUSAN HARTLEY M.D.
Pediatrics
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994
DR. DAHLIA CINDY MOSCARDINI M.B.B.S., M.P.H.
Pediatrics
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994
AYMAN M. RIFAI M.D.
Pediatrics
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994
DR. ROSE C AUGUSTINE M.D.
Pediatrics
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994
ERIN TIFFANY MASSIE FNP-C
Nurse Practitioner (Primary Care)
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994
RIAD AL-SAYED AHMAD M.D
Pediatrics (Neonatal-Perinatal Medicine)
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (707) 279-1994
ADAM CHARLES HORNE MD
Pediatrics
1610 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 279-1994

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 Prime Pediatrics PC's NPI number?

The NPI number for Prime Pediatrics PC is 1053578450. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Prime Pediatrics PC located?

Prime Pediatrics PC is located at 1610 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 279-1994.

What is Prime Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Prime Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0976863) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Pediatrics PC accept?

Health plans from Alliant Health Plans, Inc. list Prime Pediatrics PC 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 Prime Pediatrics PC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.