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