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PEDIATRIC CARDIOLOGY SERVICES, LLC
NPI 1174813737
Pediatrics - Pediatric Cardiology in Lawrenceville, GA

Active since April 15, 2011
500 MEDICAL CENTER BLVD, SUITE 390, LAWRENCEVILLE, GA 30046(770) 995-6684(770) 995-7631 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Cardiology Services, Llc NPPES

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

PEDIATRIC CARDIOLOGY SERVICES, LLC (NPI 1174813737) is a healthcare organization registered as a pediatric cardiology in Lawrenceville, Georgia and active in the NPI registry since April 2011. The organization lists Neill Videlefsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174813737
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC CARDIOLOGY SERVICES, LLC
Location Address500 MEDICAL CENTER BLVD, SUITE 390Lawrenceville, GA 30046-8708
Mailing Address500 Medical Center Blvd, Suite 390Lawrenceville, GA 30046-8708 · (770) 995-6684 · Fax (770) 995-7631
Phone(770) 995-6684
Fax(770) 995-7631
Organization SubpartNo
Authorized OfficialNeill VidelefskyCeo · (770) 995-6684
Enumeration DateApril 15, 2011
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1174813737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
500 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
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Other Identifiers 2

Medicaid000740891AGA
Medicaid000326873GGA

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

Other Providers at the Same Location NPPES 19

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

JACQUELINE BAYS RUNYAN
Counselor (Professional)
500 MEDICAL CENTER BLVD, SUITE 290
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-5100
RICHARD W. KING JR, MD
Rehabilitation Practitioner
500 MEDICAL CENTER BLVD, SUITE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 303-3200
EHI PHARMACY SOLUTIONS, LLC.
Non-Pharmacy Dispensing Site
500 MEDICAL CENTER BLVD, STE. 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-2166
GWINNETT SURGICAL SPECIALISTS LLC
Surgery
500 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 762-9977
KRELIN NAIDU DO
Emergency Medicine
500 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3318
HYOX MEDICAL TREATMENT CENTER
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
500 MEDICAL CENTER BLVD, SUITE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 303-3200
MRS. AMY DAVIDSON WHNP-BC
Nurse Practitioner (Women's Health)
500 MEDICAL CENTER BLVD, SUITE 365
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-2051
ROOSEVELT ALLEN M.D.
Urology
500 MEDICAL CENTER BLVD, SUITE 220
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2451

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 Pediatric Cardiology Services, LLC's NPI number?

The NPI number for Pediatric Cardiology Services, LLC is 1174813737. It was assigned to this organization in the NPPES registry on April 15, 2011.

Where is Pediatric Cardiology Services, LLC located?

Pediatric Cardiology Services, LLC is located at 500 Medical Center Blvd Suite 390, Lawrenceville, GA 30046. The listed phone number is (770) 995-6684.

What is Pediatric Cardiology Services, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Pediatric Cardiology Services, LLC was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.