ROSWELL PEDIATRIC CENTER, P.C.
NPI 1487772596
Pediatrics in Alpharetta, GA

NPI Status: Active since March 27, 2007

Contact Information

11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA
ZIP 30009
Phone: (770) 751-0800
Fax: (770) 751-1401

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  • Organization
  • Pediatrics
  • CLIA Number: 11D0256989
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-17-2027

About ROSWELL PEDIATRIC CENTER, P.C.

This page provides the complete NPI Profile along with additional information for Roswell Pediatric Center, P.c., a pediatrician established in Alpharetta, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1487772596 assigned on March 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Laurie L Viebrock Cmpe (Practice Administrator)

NPI
1487772596
Provider Name
ROSWELL PEDIATRIC CENTER, P.C.
Entity Type
Organization
Location Address
11525 HAYNES BRIDGE RD STE 200 ALPHARETTA, GA 30009
Location Phone
(770) 751-0800
Location Fax
(770) 751-1401
Mailing Address
11525 HAYNES BRIDGE RD STE 200 ALPHARETTA, GA 30009
Mailing Phone
(770) 751-0800
Mailing Fax
(770) 751-1401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
07-29-2020
Code Navigator

A pediatrician like Roswell Pediatric Center, P.c. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 3400 Old Milton Pkwy #C Suite 545
    Alpharetta, GA 30005
    (770) 751-0800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LAURIE L VIEBROCK CMPE

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(770) 751-0800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0256989
Facility Type
Physician Office
Certificate Effective Date
December 18, 2025
Certificate Expiration Date
December 17, 2027
Laboratory Director
DR. ROBERT D. BURNHAM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Roswell Pediatric Center, P.c. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487772596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 4 + 5 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1487772596.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pediatrics
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009
Pediatrics
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009
Pediatrics
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009
Registered Nurse (Pediatrics)
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009
Pediatrics
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009
Pediatrics
11525 HAYNES BRIDGE RD STE 200
ALPHARETTA, GA 30009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487772596, enumerated as an "organization" on March 27, 2007.

The provider is located at 11525 HAYNES BRIDGE RD STE 200 ALPHARETTA, GA 30009 and the phone number is (770) 751-0800.

Pediatrics with taxonomy code 208000000X.