1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Pediatrics
  6. NPI Profile

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

Active since October 23, 2008CLIA 11D0897923 · Waiver
3088 CAMPBELLTON RD SW, ATLANTA, GA 30311(404) 344-2828(404) 344-8384 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pedia Doc Children's Med Ctr NPPES

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

PEDIA DOC CHILDREN'S MED CTR (NPI 1518110451) is a healthcare organization registered as an adolescent medicine in Atlanta, Georgia and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Rachelle L. Dennis-smith, Md, as its authorized official.

NPPES Registry Identity

NPI1518110451
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIA DOC CHILDREN'S MED CTR
Location Address3088 CAMPBELLTON RD SWAtlanta, GA 30311-5410
Mailing Address3088 Campbellton Rd, SwAtlanta, GA 30311-5410 · (404) 344-2828 · Fax (404) 344-8384
Phone(404) 344-2828
Fax(404) 344-8384
Organization SubpartNo
Authorized OfficialRachelle L. Dennis-smithMd · (404) 344-2828
Enumeration DateOctober 23, 2008
✔ NPI 1518110451 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.
3088 CAMPBELLTON RD SW, Atlanta, GA 30311
Open in Google Maps ↗

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 11D0897923

Pedia Doc Childrens Medical Center · Atlanta, GA
Active · expires Apr 6, 2027
CLIA Number11D0897923
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorRachelle D. Smith MD
Laboratory Phone(404) 344-2828
Laboratory LocationPedia Doc Childrens Medical Center3088 Campbellton Road Southwest, Atlanta, GA 30311
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pedia Doc Children's Med Ctr's NPI number?

The NPI number for Pedia Doc Children's Med Ctr is 1518110451. It was assigned to this organization in the NPPES registry on October 23, 2008.

Where is Pedia Doc Children's Med Ctr located?

Pedia Doc Children's Med Ctr is located at 3088 Campbellton Rd SW, Atlanta, GA 30311. The listed phone number is (404) 344-2828.

What is Pedia Doc Children's Med Ctr's specialty?

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

Does Pedia Doc Children's Med Ctr hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0897923) is associated with this NPI, valid through April 6, 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 Pedia Doc Children's Med Ctr was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.