KIDS TIME PEDIATRICS - EAST COBB, LLC
NPI 1518278324
Pediatrics - Adolescent Medicine in Madison, GA

Active since June 25, 2010
696 BILLUPS AVE, MADISON, GA 30650(706) 342-2180 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids Time Pediatrics - East Cobb, Llc NPPES

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

KIDS TIME PEDIATRICS - EAST COBB, LLC (NPI 1518278324) is a healthcare organization registered as an adolescent medicine in Madison, Georgia and active in the NPI registry since June 2010. The organization lists Flynn Clyburn, Manager, as its authorized official.

NPPES Registry Identity

NPI1518278324
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameKIDS TIME PEDIATRICS - EAST COBB, LLC
Location Address696 BILLUPS AVEMadison, GA 30650-1439
Mailing Address3535 Roswell Rd, Bldg 6Marietta, GA 30062-8826 · (404) 943-1979
Organization SubpartNo
Authorized OfficialFlynn ClyburnManager · (706) 342-2180
Enumeration DateJune 25, 2010
NPI 1518278324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in GA · 32201
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.
696 BILLUPS AVE, Madison, GA 30650

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
696 BILLUPS AVE
MADISON, GA 30650
Pediatrics (Adolescent Medicine)
696 BILLUPS AVE
MADISON, GA 30650
Pediatrics (Adolescent Medicine)
696 BILLUPS AVE
MADISON, GA 30650

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 Kids Time Pediatrics - East Cobb, LLC's NPI number?

The NPI number for Kids Time Pediatrics - East Cobb, LLC is 1518278324. It was assigned to this organization in the NPPES registry on June 25, 2010.

Where is Kids Time Pediatrics - East Cobb, LLC located?

Kids Time Pediatrics - East Cobb, LLC is located at 696 Billups Ave, Madison, GA 30650. The listed phone number is (706) 342-2180.

What is Kids Time Pediatrics - East Cobb, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kids Time Pediatrics - East Cobb, LLC was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.