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INTOWN PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1457375073
Pediatrics in Atlanta, GA

Active since July 27, 2006CLIA Certified · 4 labs
490 BILL KENNEDY WAY SE, SUITE 101, ATLANTA, GA 30316(404) 446-4726(404) 446-4727 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intown Pediatric And Adolescent Medicine NPPES

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

INTOWN PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1457375073) is a healthcare organization registered as a pediatrics in Atlanta, Georgia and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Deneta H Sells, President, as its authorized official.

NPPES Registry Identity

NPI1457375073
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameINTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Location Address490 BILL KENNEDY WAY SE, SUITE 101Atlanta, GA 30316-6835
Mailing Address490 Bill Kennedy Way Se, Suite 101Atlanta, GA 30316-6835 · (404) 446-4726 · Fax (404) 446-4727
Phone(404) 446-4726
Fax(404) 446-4727
Organization SubpartNo
Authorized OfficialDeneta H SellsPresident · (404) 446-4726
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1457375073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 058200
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.
490 BILL KENNEDY WAY SE, Atlanta, GA 30316
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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

CLIA Laboratory Certificates CMS CLIA 4

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 11D1058502

Intown Pediatric And Adolescent Medicine PC · Atlanta, GA
Active · expires Aug 11, 2027
CLIA Number11D1058502
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorDeneta H. Sells
Laboratory Phone(404) 446-4726
Laboratory LocationIntown Pediatric And Adolescent Medicine PC490 Bill Kennedy Way, Suite 101, Atlanta, GA 30316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2135382

Intown Pediatric & Adolescent Medicine, PC · Brookhaven, GA
Active · expires Aug 21, 2027
CLIA Number11D2135382
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorDeneta H. Sells
Laboratory Phone(404) 446-4726
Laboratory LocationIntown Pediatric & Adolescent Medicine, PC705 Town Blvd, NE, Suite S560, Brookhaven, GA 30319
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2133990

Intown Pediatric & Adolescent Medicine, PC · Brookhaven, GA
Active · expires Jul 24, 2027
CLIA Number11D2133990
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorDeneta H. Sells
Laboratory Phone(404) 446-4726
Laboratory LocationIntown Pediatric & Adolescent Medicine, PC705 Town Blvd, NE, Suite S-560, Brookhaven, GA 30319
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2256094

Intown Pediatric & Adolescent Medicine · Decatur, GA
Active · expires Apr 5, 2027
CLIA Number11D2256094
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorFredly E. Bataille
Laboratory Phone(404) 446-4726
Laboratory LocationIntown Pediatric & Adolescent Medicine200 East Ponce De Leon Avenue Suite 150, Decatur, GA 30030
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

ALEXIS ALIYAH BENT APRN
Nurse Practitioner
490 BILL KENNEDY WAY SE
ATLANTA, GA 30316
Fulton County (404) 446-4726
MRS. ALLIE MCFARLING HORNE APRN, CPNP
Nurse Practitioner (Pediatrics)
490 BILL KENNEDY WAY SE
ATLANTA, GA 30316
Fulton County (404) 446-4726
SHEENA WHITE MS, MMSC-PA
Physician Assistant
490 BILL KENNEDY WAY SE
ATLANTA, GA 30316
Fulton County (404) 446-4726
CATHERINE MITCHELL MSN, RN, CPNP
Nurse Practitioner (Pediatrics)
490 BILL KENNEDY WAY SE
ATLANTA, GA 30316
Fulton County (404) 446-4726
CHRISTINE MARIE HARBAUGH NP
Nurse Practitioner
490 BILL KENNEDY WAY SE, SUITE 101
ATLANTA, GA 30316
Fulton County (404) 446-4726
BETHANY LASKY SMITH AANP
Nurse Practitioner (Family)
490 BILL KENNEDY WAY SE
ATLANTA, GA 30316
Fulton County (404) 446-4726
DR. FREDLY EMANUEL BATAILLE MD
Pediatrics
490 BILL KENNEDY WAY SE, SUITE 101
ATLANTA, GA 30316
Fulton County (404) 446-4726
INTOWN PEDIATRICS
Clinic/Center (Primary Care)
490 BILL KENNEDY WAY SE, SUITE 101
ATLANTA, GA 30316
Fulton County (404) 446-4726

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 Intown Pediatric And Adolescent Medicine's NPI number?

The NPI number for Intown Pediatric And Adolescent Medicine is 1457375073. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Intown Pediatric And Adolescent Medicine located?

Intown Pediatric And Adolescent Medicine is located at 490 Bill Kennedy Way SE Suite 101, Atlanta, GA 30316. The listed phone number is (404) 446-4726.

What is Intown Pediatric And Adolescent Medicine's specialty?

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

Does Intown Pediatric And Adolescent Medicine hold CLIA laboratory certificates?

Yes. 4 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.

When was this NPI record last updated?

The NPPES record for Intown Pediatric And Adolescent Medicine was last updated on November 22, 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.