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VILLAGE PEDIATRICS AT VICKERY
NPI 1518445410
Pediatrics in Cumming, GA

Active since August 02, 2018CLIA 11D2153049 · Waiver
7185 COLFAX AVEUNE, SUITE 200, CUMMING, GA 30040(678) 990-3362(678) 550-9587 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Pediatrics At Vickery NPPES

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

VILLAGE PEDIATRICS AT VICKERY (NPI 1518445410) is a healthcare organization registered as a pediatrics in Cumming, Georgia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Shalini Mala Shah, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1518445410
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVILLAGE PEDIATRICS AT VICKERY
Location Address7185 COLFAX AVEUNE, SUITE 200Cumming, GA 30040
Mailing Address6515 Wesley Hughes RdCumming, GA 30040-6526 · (678) 523-8594
Phone(678) 990-3362
Fax(678) 550-9587
Organization SubpartNo
Authorized OfficialShalini Mala ShahPhysician/owner · (678) 523-8594
Enumeration DateAugust 2, 2018
✔ NPI 1518445410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 68556
Definition
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.
7185 COLFAX AVEUNE, Cumming, GA 30040
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 11D2153049

Village Pediatrics At Vickery, LLC · Cumming, GA
Active · expires Aug 21, 2026
CLIA Number11D2153049
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorShalini M. Shah
Laboratory Phone(678) 990-3362
Laboratory LocationVillage Pediatrics At Vickery, LLC7165 Colfax Avenue, Cumming, GA 30040
CLIA data matches this NPI record on: Name 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 Village Pediatrics At Vickery's NPI number?

The NPI number for Village Pediatrics At Vickery is 1518445410. It was assigned to this organization in the NPPES registry on August 2, 2018.

Where is Village Pediatrics At Vickery located?

Village Pediatrics At Vickery is located at 7185 Colfax Aveune Suite 200, Cumming, GA 30040. The listed phone number is (678) 990-3362.

What is Village Pediatrics At Vickery's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Village Pediatrics At Vickery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2153049) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Village Pediatrics At Vickery accept?

Health plans from Alliant Health Plans, Inc. list Village Pediatrics At Vickery 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 Village Pediatrics At Vickery was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.