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JARED KIDDOE MD PROFESSIONAL CORPORATION
NPI 1437097003
Psychiatry & Neurology - Child & Adolescent Psychiatry in Suwanee, GA

Active since March 24, 2026
1070 SWAN MILL CT, SUWANEE, GA 30024(919) 666-8546 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Kiddoe Md Professional Corporation NPPES

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

JARED KIDDOE MD PROFESSIONAL CORPORATION (NPI 1437097003), doing business as Authentic Wellness Group, is a healthcare organization registered as a child & adolescent psychiatry in Suwanee, Georgia and active in the NPI registry since March 2026. The organization lists Jared Kiddoe, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1437097003
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameJARED KIDDOE MD PROFESSIONAL CORPORATION
Location Address1070 SWAN MILL CTSuwanee, GA 30024-2819
Mailing Address1070 Swan Mill CtSuwanee, GA 30024-2819 · (919) 666-8546
Phone(919) 666-8546
Organization SubpartNo
Authorized OfficialJared KiddoePsychiatrist · (919) 666-8546
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1437097003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1070 SWAN MILL CT, Suwanee, GA 30024
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Other Names 1

Doing Business AsAuthentic Wellness Group

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

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 Jared Kiddoe MD Professional Corporation's NPI number?

The NPI number for Jared Kiddoe MD Professional Corporation is 1437097003. It was assigned to this organization in the NPPES registry on March 24, 2026. The provider is doing business as Authentic Wellness Group.

Where is Jared Kiddoe MD Professional Corporation located?

Jared Kiddoe MD Professional Corporation is located at 1070 Swan Mill Ct, Suwanee, GA 30024. The listed phone number is (919) 666-8546.

What is Jared Kiddoe MD Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Jared Kiddoe MD Professional Corporation was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.