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CJ PEDIATRICS LLC
NPI 1477966380
Pediatrics in Stockbridge, GA

Active since June 09, 2014
290 COUNTRY CLUB DR, 140, STOCKBRIDGE, GA 30281(678) 782-7137(678) 782-7135 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cj Pediatrics Llc NPPES

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

CJ PEDIATRICS LLC (NPI 1477966380) is a healthcare organization registered as a pediatrics in Stockbridge, Georgia and active in the NPI registry since June 2014. The organization lists Candance J Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1477966380
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCJ PEDIATRICS LLC
Location Address290 COUNTRY CLUB DR, 140Stockbridge, GA 30281
Mailing Address290 Country Club Dr, 140Stockbridge, GA 30281 · (678) 782-7137 · Fax (678) 782-7135
Phone(678) 782-7137
Fax(678) 782-7135
Organization SubpartNo
Authorized OfficialCandance J JohnsonOwner · (678) 782-7137
Enumeration DateJune 9, 2014
Last NPPES UpdateJune 17, 2014
✔ NPI 1477966380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 50389
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.
290 COUNTRY CLUB DR, Stockbridge, GA 30281
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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

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 11D2080809

Cj Pediatrics LLC · Stockbridge, GA
Expired · Jul 14, 2026
CLIA Number11D2080809
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2024
Certificate Expiration DateJuly 14, 2026
Laboratory DirectorCandace J. Johnson
Laboratory Phone(678) 782-7137
Laboratory LocationCj Pediatrics LLC225 Country Club Drive, Suite 200, Stockbridge, GA 30281
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.

MAURO FOLGOSA MD
Urology
290 COUNTRY CLUB DR, SUITE 100
STOCKBRIDGE, GA 30281
Henry County (770) 474-5281
DAVID DIDIER
Physician Assistant (Medical)
290 COUNTRY CLUB DR, 200
STOCKBRIDGE, GA 30281
Henry County (770) 228-5407
VARON ALEXANDER GARCIAS MD
Urology
290 COUNTRY CLUB DR, SUITE 100
STOCKBRIDGE, GA 30281
Henry County (770) 474-5281
DR. PAULA ANN ANDERSON M.D.
Pathology (Anatomic Pathology)
290 COUNTRY CLUB DR, SUITE 100
STOCKBRIDGE, GA 30281
Henry County (239) 348-4319
DR. BRIAN NEIL LEWIS M.D.
Family Medicine
290 COUNTRY CLUB DR, SUITE 220
STOCKBRIDGE, GA 30281
Henry County (678) 284-6300

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 Cj Pediatrics LLC's NPI number?

The NPI number for Cj Pediatrics LLC is 1477966380. It was assigned to this organization in the NPPES registry on June 9, 2014.

Where is Cj Pediatrics LLC located?

Cj Pediatrics LLC is located at 290 Country Club Dr 140, Stockbridge, GA 30281. The listed phone number is (678) 782-7137.

What is Cj Pediatrics LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cj Pediatrics LLC was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.