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SANDY PLAINS MEDICAL GROUP, LLC
NPI 1215889126
Pediatrics in Marietta, GA

Active since February 12, 2026
3225 SHALLOWFORD RD STE 1300, MARIETTA, GA 30062(678) 560-7160 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandy Plains Medical Group, Llc NPPES

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

SANDY PLAINS MEDICAL GROUP, LLC (NPI 1215889126) is a healthcare organization registered as a pediatrics in Marietta, Georgia and active in the NPI registry since February 2026. The organization lists Justin Glaeser, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1215889126
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSANDY PLAINS MEDICAL GROUP, LLC
Location Address3225 SHALLOWFORD RD STE 1300Marietta, GA 30062-7033
Mailing Address3225 Shallowford Rd Ste 1300Marietta, GA 30062-7033 · (678) 560-7160
Phone(678) 560-7160
Organization SubpartNo
Authorized OfficialJustin GlaeserManaging Partner · (678) 560-5278
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1215889126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
3225 SHALLOWFORD RD STE 1300, Marietta, GA 30062
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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 Compliance 11D0975646

Sandy Plains Pediatrics PC · Marietta, GA
Expired · Jul 31, 2026
CLIA Number11D0975646
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorLaurette L. Ho
Laboratory Phone(678) 560-7160
Laboratory LocationSandy Plains Pediatrics PC3225 Shallowford Rd Bldg 1300, Marietta, GA 30062
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

ALEXA VICTORIA DANTZLER MD
Pediatrics
3225 SHALLOWFORD RD STE 1300
MARIETTA, GA 30062
Cobb County (703) 309-3557
LINDSEY B OWENS NP
Nurse Practitioner (Pediatrics)
3225 SHALLOWFORD RD STE 1300
MARIETTA, GA 30062
Cobb County (678) 560-7160
TIA LAVARION CHAY DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3225 SHALLOWFORD RD STE 1300
MARIETTA, GA 30062
Cobb County (678) 560-7160

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 Sandy Plains Medical Group, LLC's NPI number?

The NPI number for Sandy Plains Medical Group, LLC is 1215889126. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Sandy Plains Medical Group, LLC located?

Sandy Plains Medical Group, LLC is located at 3225 Shallowford Rd Ste 1300, Marietta, GA 30062. The listed phone number is (678) 560-7160.

What is Sandy Plains Medical Group, LLC'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 Sandy Plains Medical Group, LLC was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.