DULUTH CHILDREN'S MEDICINE, PC
NPI 1134592983
Pediatrics in Duluth, GA

Active since November 02, 2015CLIA 11D2108671 · Waiver
3500 DULUTH PARK LN, SUITE 220, DULUTH, GA 30096(678) 878-2808(678) 878-2805 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2016, Feb 1, 2016 (2 updates tracked since 2016).

About Duluth Children's Medicine, Pc NPPES

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

DULUTH CHILDREN'S MEDICINE, PC (NPI 1134592983) is a healthcare organization registered as a pediatrics in Duluth, Georgia and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists James Lin, President, as its authorized official.

NPPES Registry Identity

NPI1134592983
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDULUTH CHILDREN'S MEDICINE, PC
Location Address3500 DULUTH PARK LN, SUITE 220Duluth, GA 30096-3230
Mailing AddressPo Box 3303Duluth, GA 30096-0057 · (678) 878-2808 · Fax (678) 878-2805
Fax(678) 878-2805
Organization SubpartNo
Authorized OfficialJames LinPresident · (678) 878-2808
Enumeration DateNovember 2, 2015
Last NPPES UpdateMarch 25, 20162 updates tracked since enumeration
NPI 1134592983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 40721
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.
3500 DULUTH PARK LN, Duluth, GA 30096

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 11D2108671

Duluth Children's Medicine, PC · Duluth, GA
Active · expires Feb 8, 2028
CLIA Number11D2108671
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorJames H. Lin
Laboratory Phone(678) 878-2808
Laboratory LocationDuluth Children's Medicine, PC3500 Duluth Park Lane, Ste 220, Duluth, GA 30096
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 13

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

Dentist (General Practice)
3500 DULUTH PARK LN, SUITE 100
DULUTH, GA 30096
Family Medicine
3500 DULUTH PARK LN, SUITE 220
DULUTH, GA 30096
Chiropractor
3500 DULUTH PARK LN, 810
DULUTH, GA 30096
Counselor (Professional)
3500 DULUTH PARK LN, SUITE 410
DULUTH, GA 30096
Pediatrics
3500 DULUTH PARK LN, SUITE 220
DULUTH, GA 30096
Social Worker (Clinical)
3500 DULUTH PARK LN, SUITE 410
DULUTH, GA 30096
Otolaryngology
3500 DULUTH PARK LN, SUITE 210
DULUTH, GA 30096
Social Worker (Clinical)
3500 DULUTH PARK LN, SUITE 410
DULUTH, GA 30096

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 Duluth Children's Medicine, PC's NPI number?

The NPI number for Duluth Children's Medicine, PC is 1134592983. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Duluth Children's Medicine, PC located?

Duluth Children's Medicine, PC is located at 3500 Duluth Park Ln Suite 220, Duluth, GA 30096. The listed phone number is (678) 878-2808.

What is Duluth Children's Medicine, PC's specialty?

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

Does Duluth Children's Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2108671) is associated with this NPI, valid through February 8, 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 Duluth Children's Medicine, PC was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.