PEDIATRIC & ADOLESCENT ADVANCE CARE PLLC
NPI 1093159105
Pediatrics in Flint, MI

Q: What is Pediatric & Adolescent Advance Care PLLC's specialty?

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

Active since April 18, 2013CLIA 23D2061296 · Waiver

1230 S LINDEN RD STE 3A, FLINT, MI 48532(810) 410-4869 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric & Adolescent Advance Care Pllc NPPES

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

PEDIATRIC & ADOLESCENT ADVANCE CARE PLLC (NPI 1093159105) is a healthcare organization registered as a pediatrics in Flint, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 24, 2027, maintains a secondary practice location in Davison, and lists Faisal M Mawri, Owner, as its authorized official.

NPPES Registry Identity

NPI1093159105

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC & ADOLESCENT ADVANCE CARE PLLC

Location Address1230 S LINDEN RD STE 3AFlint, MI 48532-3459

Mailing Address8143 S Saginaw St, Suite 2Grand Blanc, MI 48439-1825 · (810) 584-7689

Phone(810) 410-4869

Organization SubpartNo

Authorized OfficialFaisal M MawriOwner · (810) 877-4908

Enumeration DateApril 18, 2013

Last NPPES UpdateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1093159105 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.

1230 S LINDEN RD STE 3A, Flint, MI 48532

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Secondary Practice Location 1

Location 110004 E Lipppincott Blvd, Suite CDavison, MI 48423-9013 · Phone (810) 410-4869

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2061296

Pediatric & Adolescent Advance Care · Flint, MI

Active · expires Jun 24, 2027

CLIA Number23D2061296

Laboratory TypePhysician Office

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorFaisal M. Mawri

Laboratory Phone(810) 584-7689

Laboratory LocationPediatric & Adolescent Advance Care1230 S Linden Road Suite 3A, Flint, MI 48532

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 5

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

ALISON GUZZARDO PA-C

Physician Assistant