ST JOSEPH'S PEDIATRICS LLC
NPI 1518164755
Pediatrics in Suwanee, GA
About St Joseph's Pediatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST JOSEPH'S PEDIATRICS LLC (NPI 1518164755) is a healthcare organization registered as a pediatrics in Suwanee, Georgia and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 4, 2028 and lists Effie S Dolores, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 11D1028910
Saint Josephs Pediatrics LLC · Suwanee, GAOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUWANEE, GA 30024
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 St Joseph's Pediatrics LLC's NPI number?
The NPI number for St Joseph's Pediatrics LLC is 1518164755. It was assigned to this organization in the NPPES registry on June 29, 2007.
Where is St Joseph's Pediatrics LLC located?
St Joseph's Pediatrics LLC is located at 4485 Tench Rd Ste 630, Suwanee, GA 30024. The listed phone number is (770) 904-5252.
What is St Joseph's Pediatrics LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does St Joseph's Pediatrics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1028910) is associated with this NPI, valid through August 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Joseph's Pediatrics LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list St Joseph's Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St Joseph's Pediatrics LLC was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# St Joseph's Pediatrics Llc · NPI 1518164755
Pediatrics organization in Suwanee, Georgia. Organization record, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1518164755 (Entity type: Organization)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Effie Dolores, OWNER
## Practice location
- **Address:** 4485 TENCH RD, STE 630, Suwanee, GA 30024-6739
- **Phone:** (770) 904-5252
## Record status
- **NPPES last updated:** January 25, 2012
- **Other identifiers:** Medicaid 000746281E (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1518164755) · Data from the CMS NPPES public registry.