KIDS TIME PEDIATRICS OF SOUTHERN CRESCENT, LLC
NPI 1447383351
Pediatrics - Adolescent Medicine in Fayetteville, GA

Q: What is Kids Time Pediatrics Of Southern Crescent, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since March 13, 2007

115 SUMNER RD, SUITE D, FAYETTEVILLE, GA 30214(706) 342-2180 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kids Time Pediatrics Of Southern Crescent, Llc NPPES

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

KIDS TIME PEDIATRICS OF SOUTHERN CRESCENT, LLC (NPI 1447383351) is a healthcare organization registered as an adolescent medicine in Fayetteville, Georgia and active in the NPI registry since March 2007. The organization lists Flynn Clyburn, President, as its authorized official.

NPPES Registry Identity

NPI1447383351

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameKIDS TIME PEDIATRICS OF SOUTHERN CRESCENT, LLC

Location Address115 SUMNER RD, SUITE DFayetteville, GA 30214-4758

Mailing Address696 Billups AveMadison, GA 30650-1439 · (706) 342-2180

Phone(706) 342-2180

Organization SubpartNo

Authorized OfficialFlynn ClyburnPresident · (706) 342-2180

Enumeration DateMarch 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1447383351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

115 SUMNER RD, Fayetteville, GA 30214

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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

Other Providers at the Same Location NPPES 4

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

ABDOURAHMAN JALLOW DPT, PT

Physical Therapist

115 SUMNER RD
FAYETTEVILLE, GA 30214

Fayette County (706) 407-4446

GWENDOLYN T DEAN M.D.

Specialist

115 SUMNER RD
FAYETTEVILLE, GA 30214

Fayette County (678) 477-6904

P4 PHYSICAL THERAPY LIMITED PARTNERSHIP

Durable Medical Equipment & Medical Supplies

115 SUMNER RD
FAYETTEVILLE, GA 30214

Fayette County (706) 407-4446

LILLIAN MARTHA COOK DPT

Physical Therapist

115 SUMNER RD
FAYETTEVILLE, GA 30214

Fayette County (706) 407-4446

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 Kids Time Pediatrics Of Southern Crescent, LLC's NPI number?

The NPI number for Kids Time Pediatrics Of Southern Crescent, LLC is 1447383351. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Kids Time Pediatrics Of Southern Crescent, LLC located?

Kids Time Pediatrics Of Southern Crescent, LLC is located at 115 Sumner Rd Suite D, Fayetteville, GA 30214. The listed phone number is (706) 342-2180.

What is Kids Time Pediatrics Of Southern Crescent, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Kids Time Pediatrics Of Southern Crescent, 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 6 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.