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DV PEDIATRICS LLC
NPI 1346368149
Clinic/Center - Primary Care in Canton, GA

Active since March 27, 2007CLIA 11D0994179 · Microscopy
2920 MARIETTA HWY, SUITE 142, CANTON, GA 30114(770) 704-0057(770) 704-0223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dv Pediatrics Llc NPPES

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

DV PEDIATRICS LLC (NPI 1346368149) is a healthcare organization registered as a primary care in Canton, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 25, 2027 and lists Vicki D Knight-mathis, Owner, as its authorized official.

NPPES Registry Identity

NPI1346368149
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDV PEDIATRICS LLC
Location Address2920 MARIETTA HWY, SUITE 142Canton, GA 30114-8212
Mailing Address2920 Marietta Hwy, Suite 142Canton, GA 30114-8212 · (770) 704-0057 · Fax (770) 704-0223
Phone(770) 704-0057
Fax(770) 704-0223
Organization SubpartNo
Authorized OfficialVicki D Knight-mathisOwner · (770) 704-0057
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346368149 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 · 047337
2920 MARIETTA HWY, Canton, GA 30114
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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 for Provider-Performed Microscopy Procedures (PPMP) 11D0994179

Dv Pediatrics · Canton, GA
Active · expires Sep 25, 2027
CLIA Number11D0994179
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorVicki D. Knight Mathis
Laboratory Phone(770) 704-6331
Laboratory LocationDv Pediatrics2929 Marietta Highway Suite 142, Canton, GA 30114
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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. VICKI D KNIGHT-MATHIS M.D.
Pediatrics
2920 MARIETTA HWY, SUITE 142
CANTON, GA 30114
Cherokee County (770) 704-0057
MS. LYNNDA JOY CAMPBELL FNP C
Nurse Practitioner
2920 MARIETTA HWY, STE 142
CANTON, GA 30114
Cherokee County (770) 704-0057
CHEROKEE FAMILY DENTAL, LLC
Dentist (General Practice)
2920 MARIETTA HWY, SUITE 146
CANTON, GA 30114
Cherokee County (770) 704-6987
KAYLA FARABAUGH LCSW
Social Worker (Clinical)
2920 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 345-7149
MRS. CHRISTINA TEMPLES CUSHING L.P.C.
Counselor (Professional)
2920 MARIETTA HWY, SUITE 132
CANTON, GA 30114
Cherokee County (770) 479-5501
ERIN BROOKE SIPE N.P.
Nurse Practitioner (Family)
2920 MARIETTA HWY, #142
CANTON, GA 30114
Cherokee County (770) 704-0057
DR. ROGER PATRICK STEWART D.M.D
Dentist (General Practice)
2920 MARIETTA HWY, SUITE 146
CANTON, GA 30114
Cherokee County (770) 704-6987
MRS. CHRISTINE SCHWERY LCSW
Social Worker (Clinical)
2920 MARIETTA HWY, SUITE 104
CANTON, GA 30114
Cherokee County (470) 253-7252

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 Dv Pediatrics LLC's NPI number?

The NPI number for Dv Pediatrics LLC is 1346368149. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Dv Pediatrics LLC located?

Dv Pediatrics LLC is located at 2920 Marietta Hwy Suite 142, Canton, GA 30114. The listed phone number is (770) 704-0057.

What is Dv Pediatrics LLC's specialty?

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

Does Dv Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0994179) is associated with this NPI, valid through September 25, 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 Dv Pediatrics LLC 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.