PRINCETON LAKES PEDIATRICS, LLC
NPI 1518236645
Pediatrics in Atlanta, GA
NPI Status: Active since December 19, 2011
Contact Information
3885 PRINCETON LAKES WAY SW
SUITE 302
ATLANTA, GA
ZIP 30331
Phone: (404) 629-1880
Fax: (404) 629-1935
- Organization
- Pediatrics
- CLIA Number: 11D1070144
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-20-2025
About PRINCETON LAKES PEDIATRICS, LLC
This page provides the complete NPI Profile along with additional information for Princeton Lakes Pediatrics, Llc, a pediatrician established in Atlanta, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1518236645 assigned on December 2011. The practitioner's primary taxonomy code is 208000000X with license number 053016 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dekisha Drayton Md (Owner)
- NPI
- 1518236645
- Provider Name
- PRINCETON LAKES PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 3885 PRINCETON LAKES WAY SW SUITE 302 ATLANTA, GA 30331
- Location Phone
- (404) 629-1880
- Location Fax
- (404) 629-1935
- Mailing Address
- 3885 PRINCETON LAKES WAY SW SUITE 302 ATLANTA, GA 30331
- Mailing Phone
- (404) 629-1880
- Mailing Fax
- (404) 629-1935
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2011
- Last Update Date
- 12-13-2023
- Code Navigator
A pediatrician like Princeton Lakes Pediatrics, Llc 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 053016
- License State
- GA
- Taxonomy Description
- 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.
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
- 11D1070144
- Facility Type
- Physician Office
- Certificate Effective Date
- June 21, 2023
- Certificate Expiration Date
- June 20, 2025
- Laboratory Director
- DEKISHA PENDERGRASS DRAYTON MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Princeton Lakes Pediatrics, Llc 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.
Reviews for PRINCETON LAKES PEDIATRICS, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 2 | 3 | 6 | 6 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 4 | 3 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 4 + 3 + 1 + 2 + 6 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1518236645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JACQUES LENOEL GORDON DMD
Dentist
(Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW
STE 408
ATLANTA, GA
ZIP 30331
METRO ATLANTA ACCESS CENTER LLC
Internal Medicine
(Nephrology)
3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331
PRINCETON LAKES INTERNAL MEDICINE
Specialist
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
DR. CHARIS JEWELLE TRENCH-SIMMONS M.D.
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
SOUTHWEST MAXILLOFACIAL SURGERY & IMPLANT CENTER
Dentist
(Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW
406
ATLANTA, GA
ZIP 30331
CAMP CREEK WOMEN'S HEALTH CENTER, LLC
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
GRACE MEDICAL PRACTICE LLC
Clinic/Center
(Primary Care)
3885 PRINCETON LAKES WAY SW
SUITE 402
ATLANTA, GA
ZIP 30331
LISA C PERRY-GILKES M.D.
Otolaryngology
3885 PRINCETON LAKES WAY SW
SUITE 312A
ATLANTA, GA
ZIP 30331
PICKENS ANDREW PATTERSON III MD
Pain Medicine
(Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
CAMP CREEK LLC
Specialist
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
SOUTHERN CRESCENT PHYSICIANS GROUP, INC
Psychiatry & Neurology
(Neurology)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
S.VAL PLASTIC SURGERY P.C.
Plastic Surgery
3885 PRINCETON LAKES WAY SW
SUITE 312
ATLANTA, GA
ZIP 30331
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Pain Medicine
(Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
SOUTHCARE PHYSICIANS GROUP OBSTETRICS & GYNECOLOGY
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
PREMIER SOUTH MEDICAL GROUP, P.C.
Family Medicine
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
SOUTHWEST ATLANTA VASCULAR CARE, LLC
Surgery
(Vascular Surgery)
3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331
ISPM ASC AT CAMP CREEK LLC
Clinic/Center
(Ambulatory Surgical)
3885 PRINCETON LAKES WAY SW
SUITE 400
ATLANTA, GA
ZIP 30331
ISPM ASC AT CAMP CREEK LLC
Clinic/Center
(Ambulatory Surgical)
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
MRS. PHAEDRA D SIMMONS CRNA
Nurse Anesthetist, Certified Registered
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine
3885 PRINCETON LAKES WAY SW
SUITE 300
ATLANTA, GA
ZIP 30331
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518236645, enumerated as an "organization" on December 19, 2011.
The provider is located at 3885 PRINCETON LAKES WAY SW SUITE 302 ATLANTA, GA 30331 and the phone number is (404) 629-1880.
Pediatrics with taxonomy code 208000000X.
