DUNWOODY PEDIATRICS - NPI 1063594430 - Pediatrics in Dunwoody, GA

Q: What is Dunwoody Pediatrics's NPI number?

The NPI number for Dunwoody Pediatrics is 1063594430. It was assigned to this organization in the NPPES registry on October 19, 2006.

Q: What is Dunwoody Pediatrics's specialty?

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

On this page

About Dunwoody Pediatrics NPPES

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

DUNWOODY PEDIATRICS (NPI 1063594430) is a healthcare organization registered as a pediatrics in Dunwoody, Georgia and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Angela Wolfe Gordon, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1063594430

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDUNWOODY PEDIATRICS

Location Address1428 DUNWOODY VILLAGE PKWYDunwoody, GA 30338

Mailing Address1428 Dunwoody Village PkwyDunwoody, GA 30338 · (770) 394-2358 · Fax (770) 394-3055

Phone(770) 394-2358

Fax(770) 394-3055

Organization SubpartNo

Authorized OfficialAngela Wolfe GordonPractice Administrator · (678) 892-8330

Enumeration DateOctober 19, 2006

Last NPPES UpdateAugust 18, 2011

✔ NPI 1063594430 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.

1428 DUNWOODY VILLAGE PKWY, Dunwoody, GA 30338

Open in Google Maps ↗

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 2

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 11D0856001

Dunwoody Pediatrics PC · Atlanta, GA

Active · expires Aug 17, 2027

CLIA Number11D0856001

Laboratory TypePhysician Office

Certificate Effective DateAugust 18, 2025

Certificate Expiration DateAugust 17, 2027

Laboratory DirectorAlejandro Torres

Laboratory Phone(770) 394-2358

Laboratory LocationDunwoody Pediatrics PC1428 Dunwoody Village Parkway, Atlanta, GA 30338

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0934728

Dunwoody Pediatrics · Alpharetta, GA

Active · expires Mar 17, 2027

CLIA Number11D0934728

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2025

Certificate Expiration DateMarch 17, 2027

Laboratory DirectorGloria A. Berenson

Laboratory Phone(770) 394-2358

Laboratory LocationDunwoody Pediatrics3300 Old Milton Parkway Suite 200, Alpharetta, GA 30005

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 8

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

DR. ARTHUR GERALD REISMAN MD

Pediatrics