NUESTROS NINOS OUR KIDS PEDIATRICS PC
NPI 1205819737
Nurse Practitioner - Family in Austell, GA

Q: What is Nuestros Ninos Our Kids Pediatrics PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 29, 2005CLIA 11D1091809 · Waiver

393 MAXHAM RD, SUITES A&B, AUSTELL, GA 30168(770) 732-6007(770) 732-8242 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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About Nuestros Ninos Our Kids Pediatrics Pc NPPES

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

NUESTROS NINOS OUR KIDS PEDIATRICS PC (NPI 1205819737), doing business as Nuestros Ninos Y La Familia, is a healthcare organization registered as a family in Austell, Georgia and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Mary Elizabeth Cahill, Ownerceo, as its authorized official.

NPPES Registry Identity

NPI1205819737

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNUESTROS NINOS OUR KIDS PEDIATRICS PC

Location Address393 MAXHAM RD, SUITES A&BAustell, GA 30168-5539

Mailing Address393 Maxham Rd, Suites A&bAustell, GA 30168-5539 · (770) 732-6007 · Fax (770) 732-8242

Phone(770) 732-6007

Fax(770) 732-8242

Organization SubpartNo

Authorized OfficialMary Elizabeth CahillOwnerceo · (770) 732-6007

Enumeration DateNovember 29, 2005

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

✔ NPI 1205819737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN170709

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN083997 (GA)

393 MAXHAM RD, Austell, GA 30168

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Other Names 1

Doing Business AsNuestros Ninos Y La Familia

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 11D1091809

Nuestros Ninos Our Kids Pediatrics Dba-International Clinics · Marietta, GA

Active · expires Oct 1, 2027

CLIA Number11D1091809

Laboratory TypePractitioner Other

Certificate Effective DateOctober 2, 2025

Certificate Expiration DateOctober 1, 2027

Laboratory DirectorEduardo E. Montana Jr

Laboratory Phone(770) 732-6007

Laboratory LocationNuestros Ninos Our Kids Pediatrics Dba-International Clinics777 Franklin Gateway SE, Marietta, GA 30067

CLIA data matches this NPI record on: 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.

CHRISTINA BETH MUELLER FNP

Nurse Practitioner (Family)

393 MAXHAM RD, STE. A&B
AUSTELL, GA 30168

Cobb County (770) 732-6007

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 Nuestros Ninos Our Kids Pediatrics PC's NPI number?

The NPI number for Nuestros Ninos Our Kids Pediatrics PC is 1205819737. It was assigned to this organization in the NPPES registry on November 29, 2005. The provider is doing business as Nuestros Ninos y La Familia.

Where is Nuestros Ninos Our Kids Pediatrics PC located?

Nuestros Ninos Our Kids Pediatrics PC is located at 393 Maxham Rd Suites A&b, Austell, GA 30168. The listed phone number is (770) 732-6007.

What is Nuestros Ninos Our Kids Pediatrics PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Nuestros Ninos Our Kids Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1091809) is associated with this NPI, valid through October 1, 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 Nuestros Ninos Our Kids Pediatrics PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.