OAKHURST PEDIATRICS, LLC
NPI 1295175909
Clinic/Center - Primary Care in Decatur, GA

Active since June 26, 2013CLIA 11D2066250 · Waiver
317 W HILL ST STE 111, SUITE 111, DECATUR, GA 30030(404) 202-0194 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oakhurst Pediatrics, Llc NPPES

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

OAKHURST PEDIATRICS, LLC (NPI 1295175909) is a healthcare organization registered as a primary care in Decatur, Georgia and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Jessica Ming-chu Doyle, Owner, as its authorized official.

NPPES Registry Identity

NPI1295175909
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOAKHURST PEDIATRICS, LLC
Location Address317 W HILL ST STE 111, SUITE 111Decatur, GA 30030-4368
Mailing Address317 W Hill St Ste 111, Suite 111Decatur, GA 30030-4368 · (404) 202-0194
Organization SubpartNo
Authorized OfficialJessica Ming-chu DoyleOwner · (404) 202-0194
Enumeration DateJune 26, 2013
NPI 1295175909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 64026
317 W HILL ST STE 111, Decatur, GA 30030

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 11D2066250

Oakhurst Pediatrics · Decatur, GA
Active · expires Sep 23, 2027
CLIA Number11D2066250
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJessica Doyle
Laboratory Phone(404) 371-9838
Laboratory LocationOakhurst Pediatrics317 W Hill Street, Suite 111, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name
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.

Pediatrics
317 W HILL ST STE 111
DECATUR, GA 30030

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 Oakhurst Pediatrics, LLC's NPI number?

The NPI number for Oakhurst Pediatrics, LLC is 1295175909. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Oakhurst Pediatrics, LLC located?

Oakhurst Pediatrics, LLC is located at 317 W Hill St Ste 111 Suite 111, Decatur, GA 30030. The listed phone number is (404) 202-0194.

What is Oakhurst Pediatrics, LLC's specialty?

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

Does Oakhurst Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2066250) is associated with this NPI, valid through September 23, 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 Oakhurst Pediatrics, LLC was last updated on June 26, 2013. 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.