PEDIATRIC DIGESTIVE HEALTH AND WELLNESS
NPI 1083394266
Pediatrics - Pediatric Gastroenterology in Loganville, GA
About Pediatric Digestive Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC DIGESTIVE HEALTH AND WELLNESS (NPI 1083394266) is a healthcare organization registered as a pediatric gastroenterology in Loganville, Georgia and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Derica Nicole Sams, Owner/ Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Group Practice 1
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 11D2310160
Pediatric Digestive Health And Wellness · Loganville, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGANVILLE, GA 30052
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 Pediatric Digestive Health And Wellness's NPI number?
The NPI number for Pediatric Digestive Health And Wellness is 1083394266. It was assigned to this organization in the NPPES registry on July 21, 2023.
Where is Pediatric Digestive Health And Wellness located?
Pediatric Digestive Health And Wellness is located at 3925 Harrison Rd Ste 100, Loganville, GA 30052. The listed phone number is (706) 340-4330.
What is Pediatric Digestive Health And Wellness's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Does Pediatric Digestive Health And Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2310160) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pediatric Digestive Health And Wellness was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.