PEDIA DOC CHILDREN'S MED CTR
NPI 1518110451
Pediatrics - Adolescent Medicine in Atlanta, GA

NPI Status: Active since October 23, 2008

Contact Information

3088 CAMPBELLTON RD SW
ATLANTA, GA
ZIP 30311
Phone: (404) 344-2828
Fax: (404) 344-8384

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 11D0897923
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-06-2027

About PEDIA DOC CHILDREN'S MED CTR

This page provides the complete NPI Profile along with additional information for Pedia Doc Children's Med Ctr, a pediatrician established in Atlanta, Georgia operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1518110451 assigned on October 2008. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Rachelle L. Dennis-smith (Md)

NPI
1518110451
Provider Name
PEDIA DOC CHILDREN'S MED CTR
Entity Type
Organization
Location Address
3088 CAMPBELLTON RD SW ATLANTA, GA 30311
Location Phone
(404) 344-2828
Location Fax
(404) 344-8384
Mailing Address
3088 CAMPBELLTON RD, SW ATLANTA, GA 30311
Mailing Phone
(404) 344-2828
Mailing Fax
(404) 344-8384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2008
Last Update Date
10-23-2008
Code Navigator

A pediatrician like Pedia Doc Children's Med Ctr 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

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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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

DR. RACHELLE L. DENNIS-SMITH

Authorized Official Title
MD
Authorized Official Phone
(404) 344-2828

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
11D0897923
Facility Type
Physician Office
Certificate Effective Date
April 07, 2025
Certificate Expiration Date
April 06, 2027
Laboratory Director
RACHELLE D. SMITH MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pedia Doc Children's Med Ctr to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1518110451, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 1 → 2 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 2 + 1 + 0 + 4 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1518110451.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518110451, enumerated as an "organization" on October 23, 2008.

The provider is located at 3088 CAMPBELLTON RD SW ATLANTA, GA 30311 and the phone number is (404) 344-2828.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.