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PROVIDENCE PEDIATRICS, LLC
NPI 1104086800
Clinic/Center - Primary Care in Tucker, GA

Active since June 16, 2008
2171 NORTHLAKE PKWY, SUITE 114, TUCKER, GA 30084(770) 939-7477(770) 939-7750 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Pediatrics, Llc NPPES

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

PROVIDENCE PEDIATRICS, LLC (NPI 1104086800) is a healthcare organization registered as a primary care in Tucker, Georgia and active in the NPI registry since June 2008. The organization lists Erica Yvette Francis-scott, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104086800
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROVIDENCE PEDIATRICS, LLC
Location Address2171 NORTHLAKE PKWY, SUITE 114Tucker, GA 30084-4104
Mailing AddressPo Box 870527Stone Mountain, GA 30087-0014 · (770) 939-7477 · Fax (770) 939-7750
Phone(770) 939-7477
Fax(770) 939-7750
Organization SubpartNo
Authorized OfficialErica Yvette Francis-scottManaging Member · (770) 939-7477
Enumeration DateJune 16, 2008
Last NPPES UpdateNovember 4, 2010
✔ NPI 1104086800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 041796
2171 NORTHLAKE PKWY, Tucker, GA 30084
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Other Providers at the Same Location NPPES 7

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

FOCUS CARE MEDICAL CENTER
Internal Medicine (Adolescent Medicine)
2171 NORTHLAKE PKWY
TUCKER, GA 30084
Dekalb County (770) 559-1523
MRS. BLANCA ZITA GONZALEZ-KING PT, CHT
Physical Therapist (Hand)
2171 NORTHLAKE PKWY, SUITE 118
TUCKER, GA 30084
Dekalb County (770) 934-5712
JESSICA N CRAWFORD P.A.
Physician Assistant (Surgical)
2171 NORTHLAKE PKWY, BUILDING 3, SUITE 100
TUCKER, GA 30084
Dekalb County (404) 296-8000
MARTHA KAPUT FRAME PT
Physical Therapist
2171 NORTHLAKE PKWY, SUITE 118, BLDG. 3
TUCKER, GA 30084
Dekalb County (770) 934-5712
DR. ERICA Y FRANCIS-SCOTT MD
Pediatrics
2171 NORTHLAKE PKWY, SUITE 114
TUCKER, GA 30084
Dekalb County (770) 939-7477
DR. OVID STEPHEN BARROW MD
Internal Medicine
2171 NORTHLAKE PKWY, BLDG. 3, STE 114
TUCKER, GA 30084
Dekalb County (770) 559-1523
PHYSICAL THERAPY SPECIALISTS, INC
Physical Therapist
2171 NORTHLAKE PKWY, SUITE 118
TUCKER, GA 30084
Dekalb County (770) 934-5712

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 Providence Pediatrics, LLC's NPI number?

The NPI number for Providence Pediatrics, LLC is 1104086800. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Providence Pediatrics, LLC located?

Providence Pediatrics, LLC is located at 2171 Northlake Pkwy Suite 114, Tucker, GA 30084. The listed phone number is (770) 939-7477.

What is Providence Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Providence Pediatrics, LLC was last updated on November 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.