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PEDIATRIC CENTER FOR WELLNESS
NPI 1437416708
Pediatrics in Conyers, GA

Active since April 11, 2012CLIA Certified · 2 labs
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094(678) 750-4000(678) 750-4005 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2024, Aug 23, 2021, Aug 6, 2021 and 1 more (4 updates tracked since 2020).

About Pediatric Center For Wellness NPPES

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

PEDIATRIC CENTER FOR WELLNESS (NPI 1437416708) is a healthcare organization registered as a pediatrics in Conyers, Georgia and active in the NPI registry since April 2012. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Conyers, and lists Chantel G Runnels, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1437416708
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CENTER FOR WELLNESS
Location Address1506 KLONDIKE RD SW STE 205Conyers, GA 30094-5173
Mailing Address1506 Klondike Rd Sw Ste 205Conyers, GA 30094-5173 · (678) 750-3010 · Fax (678) 750-4005
Phone(678) 750-4000
Fax(678) 750-4005
Organization SubpartNo
Authorized OfficialChantel G RunnelsDirector Of Operations · (678) 750-4000
Enumeration DateApril 11, 2012
Last NPPES UpdateMay 3, 20244 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1437416708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 58813
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.
1506 KLONDIKE RD SW STE 205, Conyers, GA 30094
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Secondary Practice Location 1

Location 11015 Milstead Ave NE Ste 100Conyers, GA 30012-4515 · Phone (678) 750-4000 · Fax (678) 750-4005

Other Identifiers 1

Medicaid003122586AGA

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 2

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 11D2040982

Pediatric Center For Wellness · Conyers, GA
Active · expires Apr 28, 2027
CLIA Number11D2040982
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorMs. Crystal F. Hood
Laboratory Phone(678) 750-4000
Laboratory LocationPediatric Center For Wellness1506 Klondike Road SW Suite 205, Conyers, GA 30094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2304225

Pediatric Center For Wellness · Conyers, GA
Active · expires May 8, 2028
CLIA Number11D2304225
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorCrystal Hood
Laboratory Phone(678) 750-4000
Laboratory LocationPediatric Center For Wellness1015 Milstead Avenue, Suite 100, Conyers, GA 30012
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.

PCW ALLERGY LLC
Allergy & Immunology
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Rockdale County (470) 377-6106
ONE GLOBAL HEALTH
Family Medicine
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Rockdale County (770) 765-6520
CATHERINE MARTIN CPNP-PC
Nurse Practitioner (Pediatrics)
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Rockdale County (678) 750-4000
MRS. LINDA LINNETTE PAYNE FNP-C
Nurse Practitioner (Family)
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Rockdale County (678) 750-4000
LINDSEY ANNE THEODORE MD
Pediatrics
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Rockdale County (678) 750-4000

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 Pediatric Center For Wellness's NPI number?

The NPI number for Pediatric Center For Wellness is 1437416708. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Pediatric Center For Wellness located?

Pediatric Center For Wellness is located at 1506 Klondike Rd SW Ste 205, Conyers, GA 30094. The listed phone number is (678) 750-4000.

What is Pediatric Center For Wellness's specialty?

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

Does Pediatric Center For Wellness hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Center For Wellness accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Pediatric Center For Wellness 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 Pediatric Center For Wellness was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.