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GREEN WILLOW PEDIATRICS
NPI 1174837298
Pediatrics in Gainesville, GA

Active since July 30, 2010CLIA 11D1011812 · Waiver
3030 MCEVER RD, BUILDING 1, SUITE 130, GAINESVILLE, GA 30504(678) 450-0747(678) 450-0779 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Willow Pediatrics NPPES

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

GREEN WILLOW PEDIATRICS (NPI 1174837298) is a healthcare organization registered as a pediatrics in Gainesville, Georgia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Seema Bisht-nadler, Owner, as its authorized official.

NPPES Registry Identity

NPI1174837298
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGREEN WILLOW PEDIATRICS
Location Address3030 MCEVER RD, BUILDING 1, SUITE 130Gainesville, GA 30504-5579
Mailing Address3030 Mcever Rd, Building 1, Suite 130Gainesville, GA 30504-5579 · (678) 450-0747 · Fax (678) 450-0779
Phone(678) 450-0747
Fax(678) 450-0779
Organization SubpartNo
Authorized OfficialSeema Bisht-nadlerOwner · (678) 450-0747
Enumeration DateJuly 30, 2010
✔ NPI 1174837298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 046361
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.
3030 MCEVER RD, Gainesville, GA 30504
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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 11D1011812

Greenwillow Pediatrics PC · Gainesville, GA
Active · expires Apr 22, 2027
CLIA Number11D1011812
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorSeema Bisht Nadler MD
Laboratory Phone(678) 520-2555
Laboratory LocationGreenwillow Pediatrics PC3030 Mcever Road Suite 130, Gainesville, GA 30504
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ANNUAL WELLNESS CENTERS OF AMERICA
Clinic/Center
3030 MCEVER RD, SUITE 300
GAINESVILLE, GA 30504
Hall County (770) 503-0021
CHRISTOPHER IRVIN
Counselor (Professional)
3030 MCEVER RD
GAINESVILLE, GA 30504
Hall County (470) 691-0088
PAUL OBINNA OKORO APRN,MSN,RN,NP
Nurse Practitioner (Family)
3030 MCEVER RD
GAINESVILLE, GA 30504
Hall County (678) 450-0747
ALMA MARIE NAKASONE CPNP
Nurse Practitioner (Pediatrics)
3030 MCEVER RD, BUILDING 1 SUITE 130
GAINESVILLE, GA 30504
Hall County (678) 450-0747
MRS. ROBYN LEIGH JOHNSON FNP-BC
Nurse Practitioner (Family)
3030 MCEVER RD, BUILDING 1, SUITE 130
GAINESVILLE, GA 30504
Hall County (678) 450-0747

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 Green Willow Pediatrics's NPI number?

The NPI number for Green Willow Pediatrics is 1174837298. It was assigned to this organization in the NPPES registry on July 30, 2010.

Where is Green Willow Pediatrics located?

Green Willow Pediatrics is located at 3030 Mcever Rd Building 1, Suite 130, Gainesville, GA 30504. The listed phone number is (678) 450-0747.

What is Green Willow Pediatrics's specialty?

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

Does Green Willow Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1011812) is associated with this NPI, valid through April 22, 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 Green Willow Pediatrics was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.