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IVY LEAGUE PEDIATRICS
NPI 1386928943
Pediatrics in Lawrenceville, GA

Active since September 30, 2011CLIA 11D2008455 · Waiver
601 OLD NORCROSS RD, STE B, LAWRENCEVILLE, GA 30046(678) 407-4489 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy League Pediatrics NPPES

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

IVY LEAGUE PEDIATRICS (NPI 1386928943) is a healthcare organization registered as a pediatrics in Lawrenceville, Georgia and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Nneka Unachukwu, Md, as its authorized official.

NPPES Registry Identity

NPI1386928943
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameIVY LEAGUE PEDIATRICS
Location Address601 OLD NORCROSS RD, STE BLawrenceville, GA 30046-4311
Mailing Address601 Old Norcross Rd, Ste BLawrenceville, GA 30046-4311
Phone(678) 407-4489
Organization SubpartNo
Authorized OfficialNneka UnachukwuMd · (678) 407-4489
Enumeration DateSeptember 30, 2011
✔ NPI 1386928943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 061715
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.
601 OLD NORCROSS RD, Lawrenceville, GA 30046
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Other Identifiers 1

Medicaid56042500BGA

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 11D2008455

Ivy League Pediatrics · Lawrenceville, GA
Active · expires Mar 27, 2027
CLIA Number11D2008455
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorNneka C. Unachukwu
Laboratory Phone(678) 407-4489
Laboratory LocationIvy League Pediatrics603 Old Norcross Road, Suite A, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

REKHA J. DESAI M.D.
Internal Medicine
601 OLD NORCROSS RD, STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2474
SHAILENDER K. PEESAPATI M.D.
Legal Medicine
601 OLD NORCROSS RD, STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2474
KARTIKEYA P. PATEL M.D.
Internal Medicine
601 OLD NORCROSS RD, STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2474
GWINNETT INTERNAL MEDICINE ASSOCIATES LLC
Internal Medicine
601 OLD NORCROSS RD, STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2474
NNEKA CHINWE UNACHUKWU MD
Pediatrics
601 OLD NORCROSS RD, SUITE B
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 407-4489

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 Ivy League Pediatrics's NPI number?

The NPI number for Ivy League Pediatrics is 1386928943. It was assigned to this organization in the NPPES registry on September 30, 2011.

Where is Ivy League Pediatrics located?

Ivy League Pediatrics is located at 601 Old Norcross Rd Ste B, Lawrenceville, GA 30046. The listed phone number is (678) 407-4489.

What is Ivy League Pediatrics's specialty?

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

Does Ivy League Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2008455) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivy League Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ivy League Pediatrics 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 Ivy League Pediatrics was last updated on September 30, 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.