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CHILDREN'S ENT ASSOCIATES
NPI 1114103595
Clinic/Center - Medical Specialty in Suwanee, GA

Active since January 15, 2008CLIA 11D1078948 · Waiver
4245 JOHNS CREEK PARKWAY, SUITE D, SUWANEE, GA 30024(770) 495-3820(770) 495-3820 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Ent Associates NPPES

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

CHILDREN'S ENT ASSOCIATES (NPI 1114103595) is a healthcare organization registered as a medical specialty in Suwanee, Georgia and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Jeffrey E Goldberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1114103595
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJEFFREY E GOLDBERG, MD, PC
Location Address4245 JOHNS CREEK PARKWAY, SUITE DSuwanee, GA 30024
Mailing Address4245 Johns Creek Parkway, Suite DSuwanee, GA 30024 · (770) 495-3820 · Fax (770) 495-3820
Phone(770) 495-3820
Fax(770) 495-3820
Organization SubpartNo
Authorized OfficialJeffrey E GoldbergOwner · (770) 495-3820
Enumeration DateJanuary 15, 2008
Last NPPES UpdateSeptember 2, 2011
✔ NPI 1114103595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 036754
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4245 JOHNS CREEK PARKWAY, Suwanee, GA 30024
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Other Names 1

Doing Business AsChildren's Ent Associates

Other Identifiers 1

Medicaid000630594BGA

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 11D1078948

Jeffrey E Goldberg MD PC · Suwanee, GA
Active · expires Jan 17, 2028
CLIA Number11D1078948
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorJeffrey E. Goldberg
Laboratory Phone(770) 495-3820
Laboratory LocationJeffrey E Goldberg MD PC3925 Johns Creek Court, Suite A, Suwanee, GA 30024
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

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

MRS. MORGAN ASHLEY HUGHES NP
Nurse Practitioner (Family)
4245 JOHNS CREEK PARKWAY, SUITE A
SUWANEE, GA 30024
Gwinnett County (650) 367-5636

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 Jeffrey E Goldberg, MD, PC's NPI number?

The NPI number for Jeffrey E Goldberg, MD, PC is 1114103595. It was assigned to this organization in the NPPES registry on January 15, 2008. The provider is doing business as Children's Ent Associates.

Where is Jeffrey E Goldberg, MD, PC located?

Jeffrey E Goldberg, MD, PC is located at 4245 Johns Creek Parkway Suite D, Suwanee, GA 30024. The listed phone number is (770) 495-3820.

What is Jeffrey E Goldberg, MD, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Jeffrey E Goldberg, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1078948) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeffrey E Goldberg, MD, PC was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.