SUNNYSIDE PEDIATRICS
NPI 1275810780
Pediatrics in Griffin, GA

Q: What is Sunnyside Pediatrics's NPI number?

The NPI number for Sunnyside Pediatrics is 1275810780. It was assigned to this organization in the NPPES registry on November 11, 2011.

Q: What is Sunnyside Pediatrics's specialty?

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

Active since November 11, 2011CLIA 11D1053453 · Waiver

600 S 8TH ST, GRIFFIN, GA 30224(770) 233-4668(678) 866-2636 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sunnyside Pediatrics NPPES

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

SUNNYSIDE PEDIATRICS (NPI 1275810780) is a healthcare organization registered as a pediatrics in Griffin, Georgia and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Prabhudev Patre, Director, as its authorized official.

NPPES Registry Identity

NPI1275810780

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSUNNYSIDE PEDIATRICS

Location Address600 S 8TH STGriffin, GA 30224-4214

Mailing Address600 S 8th StGriffin, GA 30224-4214 · (770) 233-4668 · Fax (678) 866-2636

Phone(770) 233-4668

Fax(678) 866-2636

Organization SubpartNo

Authorized OfficialPrabhudev PatreDirector · (770) 715-4808

Enumeration DateNovember 11, 2011

✔ NPI 1275810780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 055272

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.

600 S 8TH ST, Griffin, GA 30224

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Other Identifiers 1

Medicaid785450399CGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D1053453

Sunnyside Pediatrics · Griffin, GA

Active · expires Apr 24, 2028

CLIA Number11D1053453

Laboratory TypePhysician Office

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorChandana Prabhudev

Laboratory Phone(770) 233-4668

Laboratory LocationSunnyside Pediatrics1661 W Mcintosh Road, Griffin, GA 30223

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.

NEW START TREATMENT, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

600 S 8TH ST
GRIFFIN, GA 30224

Spalding County (678) 603-1381

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 Sunnyside Pediatrics's NPI number?

The NPI number for Sunnyside Pediatrics is 1275810780. It was assigned to this organization in the NPPES registry on November 11, 2011.

Where is Sunnyside Pediatrics located?

Sunnyside Pediatrics is located at 600 S 8th St, Griffin, GA 30224. The listed phone number is (770) 233-4668.

What is Sunnyside Pediatrics's specialty?

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

Does Sunnyside Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1053453) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunnyside Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sunnyside Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunnyside Pediatrics was last updated on November 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.