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PEACH STATE PEDIATRICS
NPI 1215280177
Pediatrics in Smyrna, GA

Active since October 16, 2012
3001 S COBB DR SE, SUITE 107, SMYRNA, GA 30080(850) 875-3600 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peach State Pediatrics NPPES

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

PEACH STATE PEDIATRICS (NPI 1215280177) is a healthcare organization registered as a pediatrics in Smyrna, Georgia and active in the NPI registry since October 2012. The organization lists Mohammed Waris, Owner, as its authorized official.

NPPES Registry Identity

NPI1215280177
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEACH STATE PEDIATRICS
Location Address3001 S COBB DR SE, SUITE 107Smyrna, GA 30080-7874
Mailing Address3001 S Cobb Dr Se, Suite 107Smyrna, GA 30080-7874
Phone(850) 875-3600
Organization SubpartNo
Authorized OfficialMohammed WarisOwner · (850) 270-9249
Enumeration DateOctober 16, 2012
✔ NPI 1215280177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 62300
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.
3001 S COBB DR SE, Smyrna, GA 30080
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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

Other Providers at the Same Location NPPES 11

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

ST PAUL MEDICAL INC
Family Medicine
3001 S COBB DR SE, SUITE 205
SMYRNA, GA 30080
Cobb County (404) 731-2931
J & S HEALTHCARE ASSOCIATES, P.C.
Family Medicine
3001 S COBB DR SE, SUITE 103
SMYRNA, GA 30080
Cobb County (678) 556-9460
ANNA PLOTNER
Registered Nurse (Community Health)
3001 S COBB DR SE
SMYRNA, GA 30080
Cobb County (404) 807-6473
MARTIN I GOLDSTEIN M.D.
Specialist
3001 S COBB DR SE, SUITE 203
SMYRNA, GA 30080
Cobb County (770) 436-6216
MIGUEL E. STUBBS, M.D.P.C.
Skilled Nursing Facility
3001 S COBB DR SE, SUITE 103
SMYRNA, GA 30080
Cobb County (678) 556-9460
UDEME EFIK
Nurse Practitioner (Family)
3001 S COBB DR SE
SMYRNA, GA 30080
Cobb County (678) 309-9977
MR. MIGUEL E STUBBS M.D.,P.C.
Internal Medicine
3001 S COBB DR SE, SUITE 103
SMYRNA, GA 30080
Cobb County (678) 556-9460
COBB COUNTY BOARD OF HEALTH
Public Health or Welfare
3001 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 438-5105

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 Peach State Pediatrics's NPI number?

The NPI number for Peach State Pediatrics is 1215280177. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Peach State Pediatrics located?

Peach State Pediatrics is located at 3001 S Cobb Dr SE Suite 107, Smyrna, GA 30080. The listed phone number is (850) 875-3600.

What is Peach State Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for Peach State Pediatrics was last updated on October 16, 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.