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SNELLVILLE PEDIATRICS, P.C.
NPI 1154453967
Pediatrics in Snellville, GA

Active since March 09, 2007
1700 TREE LN STE 110, SNELLVILLE, GA 30078(770) 972-0860(770) 972-0850 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Snellville Pediatrics, P.c. NPPES

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

SNELLVILLE PEDIATRICS, P.C. (NPI 1154453967) is a healthcare organization registered as a pediatrics in Snellville, Georgia and active in the NPI registry since March 2007. The organization lists Josephine Dunagan, President, as its authorized official.

NPPES Registry Identity

NPI1154453967
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSNELLVILLE PEDIATRICS, P.C.
Location Address1700 TREE LN STE 110Snellville, GA 30078-6749
Mailing Address1700 Tree Ln, Suite 110Snellville, GA 30078-6782 · (770) 972-0860 · Fax (770) 972-0850
Phone(770) 972-0860
Fax(770) 972-0850
Organization SubpartNo
Authorized OfficialJosephine DunaganPresident · (770) 972-0860
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1154453967 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.
1700 TREE LN STE 110, Snellville, GA 30078
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Snellville Pediatrics, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Snellville Pediatrics, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Josephine Dunagan, MD
Pediatric Medicine
NPI 1831148782
1700 TREE LANE RD STE 110
Snellville, GA 30078
(770) 972-0860
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 11D0667825

Snellville Pediatrics · Snellville, GA
Expired · Sep 30, 2026
CLIA Number11D0667825
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorJosephine R. Dunagan
Laboratory Phone(770) 972-0860
Laboratory LocationSnellville Pediatrics1700 Tree Lane Rd Suite 110, Snellville, GA 30078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Snellville Pediatrics, P.C.'s NPI number?

The NPI number for Snellville Pediatrics, P.C. is 1154453967. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Snellville Pediatrics, P.C. located?

Snellville Pediatrics, P.C. is located at 1700 Tree Ln Ste 110, Snellville, GA 30078. The listed phone number is (770) 972-0860.

What is Snellville Pediatrics, P.C.'s specialty?

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

Is Snellville Pediatrics, P.C. enrolled in Medicare?

Yes. Snellville Pediatrics, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Snellville Pediatrics, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Snellville Pediatrics, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Snellville Pediatrics, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Snellville Pediatrics, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Snellville Pediatrics, P.C. was last updated on July 20, 2022. 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.