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BRASELTON PEDIATRICS, LLC
NPI 1174278808
Nurse Practitioner - Pediatrics in Hoschton, GA

Active since February 22, 2022CLIA 11D1092044 · Waiver
1897 HIGHWAY 211 NW STE 100, HOSCHTON, GA 30548(678) 820-7979(678) 820-7980 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Braselton Pediatrics, Llc NPPES

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

BRASELTON PEDIATRICS, LLC (NPI 1174278808) is a healthcare organization registered as a pediatrics in Hoschton, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Dionne Butler, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1174278808
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBRASELTON PEDIATRICS, LLC
Location Address1897 HIGHWAY 211 NW STE 100Hoschton, GA 30548-3513
Mailing Address1897 Highway 211 Nw Ste 100Hoschton, GA 30548-3513 · (678) 820-7979 · Fax (678) 820-7980
Phone(678) 820-7979
Fax(678) 820-7980
Organization SubpartNo
Authorized OfficialDionne ButlerProvider/owner · (678) 455-8212
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1174278808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1897 HIGHWAY 211 NW STE 100, Hoschton, GA 30548
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Other Identifiers 1

Medicaid003113444EGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 11D1092044

Braselton Pediatrics PC · Hoschton, GA
Active · expires Feb 28, 2027
CLIA Number11D1092044
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMarc Yriane Barieux
Laboratory Phone(678) 820-7979
Laboratory LocationBraselton Pediatrics PC1897 Highway 211 NW Suite 100, Hoschton, GA 30548
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.

DIONNE MELAINE BUTLER CPNP
Nurse Practitioner (Pediatrics)
1897 HIGHWAY 211 NW STE 100
HOSCHTON, GA 30548
Jackson County (678) 820-7979

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 Braselton Pediatrics, LLC's NPI number?

The NPI number for Braselton Pediatrics, LLC is 1174278808. It was assigned to this organization in the NPPES registry on February 22, 2022.

Where is Braselton Pediatrics, LLC located?

Braselton Pediatrics, LLC is located at 1897 Highway 211 NW Ste 100, Hoschton, GA 30548. The listed phone number is (678) 820-7979.

What is Braselton Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Braselton Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1092044) is associated with this NPI, valid through February 28, 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 Braselton Pediatrics, LLC was last updated on February 22, 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.