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WEST VININGS PEDIATRIC GROUP, P.C.
NPI 1447699061
Pediatrics in Smyrna, GA

Active since June 17, 2013CLIA 11D2065716 · Waiver
3644 HIGHLANDS PKWY SE, SMYRNA, GA 30082(404) 446-3960(404) 446-3965 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Vinings Pediatric Group, P.c. NPPES

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

WEST VININGS PEDIATRIC GROUP, P.C. (NPI 1447699061) is a healthcare organization registered as a pediatrics in Smyrna, Georgia and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Crystal L/ White, Owner / M.d., as its authorized official.

NPPES Registry Identity

NPI1447699061
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWEST VININGS PEDIATRIC GROUP, P.C.
Location Address3644 HIGHLANDS PKWY SESmyrna, GA 30082-5184
Mailing Address3644 Highlands Pkwy SeSmyrna, GA 30082-5184 · (404) 446-3960 · Fax (404) 446-3965
Phone(404) 446-3960
Fax(404) 446-3965
Organization SubpartNo
Authorized OfficialCrystal L/ WhiteOwner / M.d. · (404) 446-3960
Enumeration DateJune 17, 2013
✔ NPI 1447699061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 050747
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.
3644 HIGHLANDS PKWY SE, Smyrna, GA 30082
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Other Identifiers 1

Medicaid683835419DGA

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

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 11D2065716

West Vinings Pediatric Group, PC · Smyrna, GA
Active · expires Sep 12, 2027
CLIA Number11D2065716
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorCrystal L. White
Laboratory Phone(404) 446-3960
Laboratory LocationWest Vinings Pediatric Group, PC3644 Highlands Parkway, Smyrna, GA 30082
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. CRYSTAL L WHITE MD
Pediatrics
3644 HIGHLANDS PKWY SE
SMYRNA, GA 30082
Cobb County (404) 446-3960

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 West Vinings Pediatric Group, P.C.'s NPI number?

The NPI number for West Vinings Pediatric Group, P.C. is 1447699061. It was assigned to this organization in the NPPES registry on June 17, 2013.

Where is West Vinings Pediatric Group, P.C. located?

West Vinings Pediatric Group, P.C. is located at 3644 Highlands Pkwy SE, Smyrna, GA 30082. The listed phone number is (404) 446-3960.

What is West Vinings Pediatric Group, P.C.'s specialty?

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

Does West Vinings Pediatric Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2065716) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Vinings Pediatric Group, P.C. was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.