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LIFE CYCLE PEDIATRICS, LLC
NPI 1508363128
Pediatrics in Decatur, GA

Active since April 10, 2018
428 WINN CT STE 100A, DECATUR, GA 30030(404) 228-0601(470) 698-2141 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Cycle Pediatrics, Llc NPPES

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

LIFE CYCLE PEDIATRICS, LLC (NPI 1508363128) is a healthcare organization registered as a pediatrics in Decatur, Georgia and active in the NPI registry since April 2018. The organization lists Gwendolyn Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508363128
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIFE CYCLE PEDIATRICS, LLC
Location Address428 WINN CT STE 100ADecatur, GA 30030-1726
Mailing Address428 Winn Ct Ste 100aDecatur, GA 30030-1726 · (404) 228-0601 · Fax (470) 698-2141
Phone(404) 228-0601
Fax(470) 698-2141
Organization SubpartNo
Authorized OfficialGwendolyn WilliamsOffice Manager · (404) 228-0601
Enumeration DateApril 10, 2018
✔ NPI 1508363128 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.
428 WINN CT STE 100A, Decatur, GA 30030
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Other Identifiers 2

Medicaid894980142AGA
Medicaid894980142DGA

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

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 Life Cycle Pediatrics, LLC's NPI number?

The NPI number for Life Cycle Pediatrics, LLC is 1508363128. It was assigned to this organization in the NPPES registry on April 10, 2018.

Where is Life Cycle Pediatrics, LLC located?

Life Cycle Pediatrics, LLC is located at 428 Winn Ct Ste 100A, Decatur, GA 30030. The listed phone number is (404) 228-0601.

What is Life Cycle 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 Life Cycle Pediatrics, LLC was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.