HEALTH CARE
NPI 1376829911
Pediatrics in Tucker, GA

Q: What is Dekalb Pediatric Associates PC's NPI number?

The NPI number for Dekalb Pediatric Associates PC is 1376829911. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Health Care.

Q: What is Dekalb Pediatric Associates PC's specialty?

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

Active since October 27, 2011CLIA 11D1049187 · Waiver

1390 MONTREAL RD STE 180, TUCKER, GA 30084(404) 446-4600(404) 446-4601 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Health Care NPPES

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

HEALTH CARE (NPI 1376829911) is a healthcare organization registered as a pediatrics in Tucker, Georgia and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Ronald A Homer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376829911

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDEKALB PEDIATRIC ASSOCIATES PC

Location Address1390 MONTREAL RD STE 180Tucker, GA 30084-8187

Mailing Address1390 Montreal Rd Ste 180Tucker, GA 30084-8187 · (404) 446-4600 · Fax (404) 446-4601

Phone(404) 446-4600

Fax(404) 446-4601

Organization SubpartYes

Authorized OfficialRonald A HomerCeo · (404) 446-4600

Enumeration DateOctober 27, 2011

✔ NPI 1376829911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 050105

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.

1390 MONTREAL RD STE 180, Tucker, GA 30084

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Other Names 1

Doing Business AsHealth Care

Other Identifiers 1

Medicaid000940266KGA

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 11D1049187

Dekalb Pediatric Associates PC · Tucker, GA

Active · expires Jun 13, 2027

CLIA Number11D1049187

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2025

Certificate Expiration DateJune 13, 2027

Laboratory DirectorRonald A. Homer

Laboratory Phone(404) 446-4600

Laboratory LocationDekalb Pediatric Associates PC1390 Montreal Road Suite 180, Tucker, GA 30084

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

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

DR. SHILPA R SHAH MD

Pediatrics

1390 MONTREAL RD STE 180
TUCKER, GA 30084

Dekalb County (404) 446-4600

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 Dekalb Pediatric Associates PC's NPI number?

The NPI number for Dekalb Pediatric Associates PC is 1376829911. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Health Care.

Where is Dekalb Pediatric Associates PC located?

Dekalb Pediatric Associates PC is located at 1390 Montreal Rd Ste 180, Tucker, GA 30084. The listed phone number is (404) 446-4600.

What is Dekalb Pediatric Associates PC's specialty?

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

Does Dekalb Pediatric Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1049187) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dekalb Pediatric Associates PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dekalb Pediatric Associates PC 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 Dekalb Pediatric Associates PC was last updated on October 27, 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.