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WESTCARE PEDIATRICS AND ADULT MEDICINE
NPI 1487742532
Pediatrics in Villa Rica, GA

Active since October 11, 2006CLIA Certified · 2 labs
626 DALLAS HWY, VILLA RICA, GA 30180(770) 459-9378(770) 459-8613 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Westcare Pediatrics And Adult Medicine NPPES

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

WESTCARE PEDIATRICS AND ADULT MEDICINE (NPI 1487742532) is a healthcare organization registered as a pediatrics in Villa Rica, Georgia and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Amanda Maxwell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487742532
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWESTCARE VILLA RICA PEDIATRICS
Location Address626 DALLAS HWYVilla Rica, GA 30180-1209
Mailing Address626 Dallas HwyVilla Rica, GA 30180-1209 · (770) 459-9378 · Fax (770) 459-8613
Phone(770) 459-9378
Fax(770) 459-8613
Organization SubpartNo
Authorized OfficialAmanda MaxwellOffice Manager · (770) 832-2005
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 15, 2012
✔ NPI 1487742532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.

626 DALLAS HWY, Villa Rica, GA 30180
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Other Names 1

Doing Business AsWestcare Pediatrics And Adult Medicine

Other Identifiers 1

Other203686572AGA · Medicaid Payee Number

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 MULTIPLE SINGLE SPECIALTY GROUP

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 11D1010603

West Care Villa Rica Pediatrics · Villa Rica, GA
Active · expires Mar 18, 2027
CLIA Number11D1010603
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorJosephine Ediale MD
Laboratory Phone(770) 459-9378
Laboratory LocationWest Care Villa Rica Pediatrics626 Dallas Highway, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2038501

West Care Pediatrics & Adult Medicine · Carrollton, GA
Active · expires Mar 20, 2028
CLIA Number11D2038501
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorMs. Josephine T. Ediale
Laboratory Phone(770) 459-9378
Laboratory LocationWest Care Pediatrics & Adult Medicine205 Bankhead Highway, Carrollton, GA 30117
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 4

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

AHTYANNA KENDRICK CPNP-PC
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
EDWIDGE AZOR-ANTOINE
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
JOSEPHINE T EDIALE M.D.
Pediatrics
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378
JESSICA N DUNN ARNP
Nurse Practitioner (Pediatrics)
626 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 459-9378

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 Westcare Villa Rica Pediatrics's NPI number?

The NPI number for Westcare Villa Rica Pediatrics is 1487742532. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Westcare Pediatrics And Adult Medicine.

Where is Westcare Villa Rica Pediatrics located?

Westcare Villa Rica Pediatrics is located at 626 Dallas Hwy, Villa Rica, GA 30180. The listed phone number is (770) 459-9378.

What is Westcare Villa Rica Pediatrics's specialty?

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

Does Westcare Villa Rica Pediatrics 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.

When was this NPI record last updated?

The NPPES record for Westcare Villa Rica Pediatrics was last updated on May 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.