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CHILDFREN'S MEDICAL GROUP, P.C.
NPI 1497865935
Pediatrics - Adolescent Medicine in Atlanta, GA

Active since August 30, 2006CLIA 11D0698973 · Waiver
1875 CENTURY BLVD NE, SUITE 150, ATLANTA, GA 30345(404) 633-4595(404) 633-6711 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Childfren's Medical Group, P.c. NPPES

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

CHILDFREN'S MEDICAL GROUP, P.C. (NPI 1497865935) is a healthcare organization registered as an adolescent medicine in Atlanta, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists William K Jann, President, as its authorized official.

NPPES Registry Identity

NPI1497865935
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCHILDFREN'S MEDICAL GROUP, P.C.
Location Address1875 CENTURY BLVD NE, SUITE 150Atlanta, GA 30345-3319
Mailing Address1875 Century Blvd Ne, Suite 150Atlanta, GA 30345-3319 · (404) 633-4595 · Fax (404) 633-6711
Phone(404) 633-4595
Fax(404) 633-6711
Organization SubpartNo
Authorized OfficialWilliam K JannPresident · (404) 633-4595
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497865935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1875 CENTURY BLVD NE, Atlanta, GA 30345
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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 11D0698973

Children's Medical Group, PC · Atlanta, GA
Active · expires Jan 7, 2027
CLIA Number11D0698973
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorChandler A. Rountree
Laboratory Phone(404) 633-4595
Laboratory LocationChildren's Medical Group, PC455 East Paces Ferry Road, Suite 212, Atlanta, GA 30305
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 17

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

DR. ANN W KINCAID MD
Pediatrics
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
DR. JAMES S COX MD
Pediatrics
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
DR. LOUIS E HEMPEL MD
Pediatrics
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
DR. JESSALYN ELIZABETH MEEKS MD
Pediatrics
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
DR. KEVIN J COLTON MD
Pediatrics
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
CANDACE L MYNATT CPNP
Nurse Practitioner (Pediatrics)
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
MS. JULIA PENDERGRAST BERRY NP-C
Nurse Practitioner (Pediatrics)
1875 CENTURY BLVD NE, SUITE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
RASEEFA ANWAR M.D.
Pediatrics (Adolescent Medicine)
1875 CENTURY BLVD NE, PEDIATRICS
ATLANTA, GA 30345
Dekalb County (404) 633-4595

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 Childfren's Medical Group, P.C.'s NPI number?

The NPI number for Childfren's Medical Group, P.C. is 1497865935. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Childfren's Medical Group, P.C. located?

Childfren's Medical Group, P.C. is located at 1875 Century Blvd NE Suite 150, Atlanta, GA 30345. The listed phone number is (404) 633-4595.

What is Childfren's Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Childfren's Medical Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0698973) is associated with this NPI, valid through January 7, 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 Childfren's Medical Group, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.