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PEDIATRICS OF DALTON, PA
NPI 1063679207
Specialist in Dalton, GA

Active since May 16, 2008CLIA 11D0262391 · Accreditation
1409 CHATTANOOGA AVE, DALTON, GA 30720(706) 278-5373(706) 278-5085 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatrics Of Dalton, Pa NPPES

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

PEDIATRICS OF DALTON, PA (NPI 1063679207) is a healthcare organization registered as a specialist in Dalton, Georgia and active in the NPI registry since May 2008. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Donna Dockery, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063679207
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRICS OF DALTON, PA
Location Address1409 CHATTANOOGA AVEDalton, GA 30720-2631
Mailing Address1409 Chattanooga AveDalton, GA 30720-2631 · (706) 278-5373 · Fax (706) 278-5085
Phone(706) 278-5373
Fax(706) 278-5085
Organization SubpartNo
Authorized OfficialDonna DockeryAdministrator · (706) 278-5373
Enumeration DateMay 16, 2008
Last NPPES UpdateJune 17, 2015
✔ NPI 1063679207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 015426
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1409 CHATTANOOGA AVE, Dalton, GA 30720
Open in Google Maps ↗

Other Identifiers 1

Medicaid30019480AGA

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 Accreditation 11D0262391

Pediatrics Of Dalton · Dalton, GA
Active · expires Dec 22, 2027
CLIA Number11D0262391
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorWilliam Edwards
Laboratory Phone(706) 278-5373
Laboratory LocationPediatrics Of Dalton1409 Chattanooga Avenue, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

LUIS MIGUEL VIAMONTE M.D.
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Whitfield County (706) 278-5373
WILLIAM RICHARD EDWARDS M.D.
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Whitfield County (706) 278-5373
DR. KYLE D MAXWELL MD
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Whitfield County (706) 278-5373
RICHARD FRANKLIN SPANJER M.D.
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Whitfield County (706) 278-5373

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 Pediatrics Of Dalton, PA's NPI number?

The NPI number for Pediatrics Of Dalton, PA is 1063679207. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Pediatrics Of Dalton, PA located?

Pediatrics Of Dalton, PA is located at 1409 Chattanooga Ave, Dalton, GA 30720. The listed phone number is (706) 278-5373.

What is Pediatrics Of Dalton, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pediatrics Of Dalton, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0262391) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrics Of Dalton, PA accept?

Health plans from Alliant Health Plans, Inc. list Pediatrics Of Dalton, PA 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 Pediatrics Of Dalton, PA was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.