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KIDS AVENUE PEDIATRICS LLC
NPI 1326388752
Pediatrics in College Park, GA

Active since February 21, 2013CLIA 11D1032664 · Waiver
1720 PHOENIX BLVD, COLLEGE PARK, GA 30349(770) 909-8007(770) 909-8005 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kids Avenue Pediatrics Llc NPPES

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

KIDS AVENUE PEDIATRICS LLC (NPI 1326388752) is a healthcare organization registered as a pediatrics in College Park, Georgia and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Gertrude Brown Arrington, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1326388752
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS AVENUE PEDIATRICS LLC
Location Address1720 PHOENIX BLVDCollege Park, GA 30349-5594
Mailing Address1720 Phoenix BlvdCollege Park, GA 30349-5594 · (770) 909-8007 · Fax (770) 909-8005
Phone(770) 909-8007
Fax(770) 909-8005
Organization SubpartNo
Authorized OfficialGertrude Brown ArringtonMedical Doctor · (770) 909-8007
Enumeration DateFebruary 21, 2013
✔ NPI 1326388752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 027036
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.
1720 PHOENIX BLVD, College Park, GA 30349
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Other Identifiers 2

Medicare UPINF170016GA
Medicaid000298053EGA

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

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 11D1032664

Kids Avenue Pediatrics · College Park, GA
Active · expires Oct 26, 2026
CLIA Number11D1032664
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorGertrude B. Arrington
Laboratory Phone(770) 909-8007
Laboratory LocationKids Avenue Pediatrics1720 Phoenix Boulevard, Suite 200, College Park, GA 30349
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 13

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

DR. SANDRA WORDLAW-WATKINS M.D.
Family Medicine
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 997-9928
DR. KAREN YVONNE LUSTER M.D.
Internal Medicine
1720 PHOENIX BLVD, STE 700
COLLEGE PARK, GA 30349
Fulton County (470) 369-7800
DR. JANELLA LYNNE THOMAS-BURSE M.D.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
MS. KARYN L KOCHAN MS, LPC
Counselor (Professional)
1720 PHOENIX BLVD, STE 540
ATLANTA, GA 30349
Fulton County (770) 875-6376
DR. ALECIA RENEE LOVELADY MD
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
MS. SUSAN RACHELLE WINFIELD L.P.C.
Counselor (Professional)
1720 PHOENIX BLVD, SUITE 540
COLLEGE PARK, GA 30349
Fulton County (770) 909-9500
PHOENIX WOMEN'S CENTER, P.C.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
GERTRUDE BROWN ARRINGTON MD
Pediatrics
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 909-8007

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 Kids Avenue Pediatrics LLC's NPI number?

The NPI number for Kids Avenue Pediatrics LLC is 1326388752. It was assigned to this organization in the NPPES registry on February 21, 2013.

Where is Kids Avenue Pediatrics LLC located?

Kids Avenue Pediatrics LLC is located at 1720 Phoenix Blvd, College Park, GA 30349. The listed phone number is (770) 909-8007.

What is Kids Avenue Pediatrics LLC's specialty?

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

Does Kids Avenue Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1032664) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kids Avenue Pediatrics LLC was last updated on February 21, 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.