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ABC PEDIATRIC GROUP, P.C.
NPI 1093729089
Pediatrics in Stone Mtn, GA

Active since July 28, 2006CLIA 11D1056958 · Waiver
2240 W PARK PLACE BLVD, STE A, STONE MTN, GA 30087(770) 771-5222(770) 771-5223 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abc Pediatric Group, P.c. NPPES

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

ABC PEDIATRIC GROUP, P.C. (NPI 1093729089) is a healthcare organization registered as a pediatrics in Stone Mtn, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 30, 2026 and lists Marcia A Cumberbatch, Partner, as its authorized official.

NPPES Registry Identity

NPI1093729089
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameABC PEDIATRIC GROUP, P.C.
Location Address2240 W PARK PLACE BLVD, STE AStone Mtn, GA 30087-3543
Mailing Address2240 W Park Place BlvdStone Mtn, GA 30087-3543 · (770) 771-5222 · Fax (770) 771-5223
Phone(770) 771-5222
Fax(770) 771-5223
Organization SubpartNo
Authorized OfficialMarcia A CumberbatchPartner · (770) 771-5222
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 25, 2007
✔ NPI 1093729089 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.

2240 W PARK PLACE BLVD, Stone Mtn, GA 30087
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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

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 11D1056958

Abc Pediatric Group PC · Stone Mountain, GA
Active · expires Jul 30, 2026
CLIA Number11D1056958
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorMarcia A. Cumberbatch MD
Laboratory Phone(770) 771-5222
Laboratory LocationAbc Pediatric Group PC2240 West Park Place Boulevard Suite A, Stone Mountain, GA 30087
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 3

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

MRS. DJIFA RICHARDS JONES PA C
Physician Assistant (Medical)
2240 W PARK PLACE BLVD, STE A
STONE MOUNTAIN, GA 30087
Dekalb County (678) 722-8464
TREAD EDUCATIONAL SERVICES
Local Education Agency (LEA)
2240 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (770) 376-5854
MS. LAUREN ELIZABETH MASON RN, PNP
Nurse Practitioner (Pediatrics)
2240 W PARK PLACE BLVD, SUITE A
STONE MOUNTAIN, GA 30087
Dekalb County (770) 771-5222

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 Abc Pediatric Group, P.C.'s NPI number?

The NPI number for Abc Pediatric Group, P.C. is 1093729089. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Abc Pediatric Group, P.C. located?

Abc Pediatric Group, P.C. is located at 2240 W Park Place Blvd Ste A, Stone Mtn, GA 30087. The listed phone number is (770) 771-5222.

What is Abc Pediatric Group, P.C.'s specialty?

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

Does Abc Pediatric Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1056958) is associated with this NPI, valid through July 30, 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 Abc Pediatric Group, P.C. was last updated on September 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.