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COSMIC PEDIATRICS LLC
NPI 1154185312
Pediatrics in Newnan, GA

Active since February 08, 2024CLIA 11D2299510 · Waiver
61 ROBINSON LAKE RD, NEWNAN, GA 30265(706) 616-8286 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cosmic Pediatrics Llc NPPES

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

COSMIC PEDIATRICS LLC (NPI 1154185312) is a healthcare organization registered as a pediatrics in Newnan, Georgia and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Torey Harden, Md, as its authorized official.

NPPES Registry Identity

NPI1154185312
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOSMIC PEDIATRICS LLC
Location Address61 ROBINSON LAKE RDNewnan, GA 30265-6275
Mailing Address61 Robinson Lake RdNewnan, GA 30265-6275
Phone(706) 616-8286
Organization SubpartNo
Authorized OfficialTorey HardenMd · (470) 414-1329
Enumeration DateFebruary 8, 2024
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1154185312 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.
61 ROBINSON LAKE RD, Newnan, GA 30265
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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 11D2299510

Cosmic Pediatrics · Newnan, GA
Active · expires Feb 21, 2028
CLIA Number11D2299510
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorTorey S. Harden
Laboratory Phone(470) 414-1329
Laboratory LocationCosmic Pediatrics61 Robinson Lake Road, Newnan, GA 30265
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

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

DR. BIDEMI YEMI OLANIYI-LEYIMU MD
Family Medicine
61 ROBINSON LAKE RD
NEWNAN, GA 30265
Coweta County (678) 633-3260

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 Cosmic Pediatrics LLC's NPI number?

The NPI number for Cosmic Pediatrics LLC is 1154185312. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Cosmic Pediatrics LLC located?

Cosmic Pediatrics LLC is located at 61 Robinson Lake Rd, Newnan, GA 30265. The listed phone number is (706) 616-8286.

What is Cosmic Pediatrics LLC's specialty?

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

Does Cosmic Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2299510) is associated with this NPI, valid through February 21, 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 Cosmic Pediatrics LLC was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.