PEDIATRIC PHYSICIANS, P.C.
NPI 1285768184
Clinic/Center - Primary Care in Roswell, GA

Q: What is Pediatric Physicians, P.C.'s NPI number?

The NPI number for Pediatric Physicians, P.C. is 1285768184. It was assigned to this organization in the NPPES registry on March 15, 2007.

Q: What is Pediatric Physicians, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 15, 2007CLIA 11D1025627 · Waiver

11050 CRABAPPLE RD, SUITE 120, ROSWELL, GA 30075(770) 518-9277(770) 518-8718 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Physicians, P.c. NPPES

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

PEDIATRIC PHYSICIANS, P.C. (NPI 1285768184) is a healthcare organization registered as a primary care in Roswell, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Jose De Urioste, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1285768184

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePEDIATRIC PHYSICIANS, P.C.

Location Address11050 CRABAPPLE RD, SUITE 120Roswell, GA 30075-2489

Mailing Address11050 Crabapple Rd, Suite 120Roswell, GA 30075-2489 · (770) 518-9277 · Fax (770) 518-8718

Phone(770) 518-9277

Fax(770) 518-8718

Organization SubpartNo

Authorized OfficialJose De UriosteBusiness Manager · (770) 518-9277

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1285768184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

11050 CRABAPPLE RD, Roswell, GA 30075

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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 11D1025627

Pediatric Physician PC · Roswell, GA

Active · expires May 11, 2028

CLIA Number11D1025627

Laboratory TypePhysician Office

Certificate Effective DateMay 12, 2026

Certificate Expiration DateMay 11, 2028

Laboratory DirectorStanton Stebbins

Laboratory Phone(770) 518-9277

Laboratory LocationPediatric Physician PC11050 Crabapple Road, Suite 120, Roswell, GA 30075

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

DR. OGNJENKA GOGA BRKIC-VUKOTIC M.D.

Internal Medicine

11050 CRABAPPLE RD, SUITE 104 B
ROSWELL, GA 30075

Fulton County (770) 645-0017

MICHAEL JAMES CUDMORE LPC

Counselor (Mental Health)

11050 CRABAPPLE RD, SUITE D 113-A
ROSWELL, GA 30075

Fulton County (404) 358-7520

TERRI HASKINS COHEN MS CCC-SLP

Speech-Language Pathologist

11050 CRABAPPLE RD, BLDG D SUITE 115-A
ROSWELL, GA 30075

Fulton County (770) 642-0670

THE OLIVIA CENTER FOR DEVELOPMENTAL DISABILITIES, LLC

Community/Behavioral Health

11050 CRABAPPLE RD, SUITE C-109
ROSWELL, GA 30075

Fulton County (770) 899-5311

RHONA TIONGSON FEDERER MD

Pediatrics

11050 CRABAPPLE RD, STE 120
ROSWELL, GA 30075

Fulton County (770) 518-9277

DR. HOWARD ALAN REISMAN M.D.

Obstetrics & Gynecology (Gynecology)

11050 CRABAPPLE RD, SUITE 111D
ROSWELL, GA 30075

Fulton County (770) 992-2691

MONICA L MARLOWE MD

Pediatrics

11050 CRABAPPLE RD, STE 120
ROSWELL, GA 30075

Fulton County (770) 518-9277

ATLANTA NORTH GYNECOLOGY, P.C.

Obstetrics & Gynecology (Gynecology)

11050 CRABAPPLE RD, SUITE 111D
ROSWELL, GA 30075

Fulton County (770) 992-2691

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 Pediatric Physicians, P.C.'s NPI number?

The NPI number for Pediatric Physicians, P.C. is 1285768184. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Pediatric Physicians, P.C. located?

Pediatric Physicians, P.C. is located at 11050 Crabapple Rd Suite 120, Roswell, GA 30075. The listed phone number is (770) 518-9277.

What is Pediatric Physicians, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatric Physicians, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1025627) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Physicians, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.