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CHAMBLEE CHILDREN'S CLINIC , P.C.
NPI 1114698933
Pediatrics in Chamblee, GA

Active since September 22, 2021CLIA 11D1009043 · Waiver
3337 CHAMBLEE DUNWOODY RD, CHAMBLEE, GA 30341(770) 457-3303(770) 457-3316 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2021, Sep 22, 2021 (2 updates tracked since 2021).

About Chamblee Children's Clinic , P.c. NPPES

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

CHAMBLEE CHILDREN'S CLINIC , P.C. (NPI 1114698933) is a healthcare organization registered as a pediatrics in Chamblee, Georgia and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Jiong Fan, Md, as its authorized official.

NPPES Registry Identity

NPI1114698933
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHAMBLEE CHILDREN'S CLINIC , P.C.
Location Address3337 CHAMBLEE DUNWOODY RDChamblee, GA 30341-2816
Mailing Address3337 Chamblee Dunwoody RdChamblee, GA 30341-2816 · (770) 457-3303 · Fax (770) 457-3316
Phone(770) 457-3303
Fax(770) 457-3316
Organization SubpartNo
Authorized OfficialJiong FanMd · (770) 457-3303
Enumeration DateSeptember 22, 2021
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1114698933 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.
3337 CHAMBLEE DUNWOODY RD, Chamblee, GA 30341
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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 11D1009043

Chamblee Childrens Clinic · Chamblee, GA
Active · expires Feb 4, 2027
CLIA Number11D1009043
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorJiong Fan
Laboratory Phone(770) 457-3303
Laboratory LocationChamblee Childrens Clinic3337 Chamblee Dunwoody Road Suite 1, Chamblee, GA 30341
CLIA data matches this NPI record on: Address 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.

JIONG FAN MD
Pediatrics
3337 CHAMBLEE DUNWOODY RD
CHAMBLEE, GA 30341
Dekalb County (770) 457-3303

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 Chamblee Children's Clinic , P.C.'s NPI number?

The NPI number for Chamblee Children's Clinic , P.C. is 1114698933. It was assigned to this organization in the NPPES registry on September 22, 2021.

Where is Chamblee Children's Clinic , P.C. located?

Chamblee Children's Clinic , P.C. is located at 3337 Chamblee Dunwoody Rd, Chamblee, GA 30341. The listed phone number is (770) 457-3303.

What is Chamblee Children's Clinic , P.C.'s specialty?

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

Does Chamblee Children's Clinic , P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1009043) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chamblee Children's Clinic , P.C. was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.