MILESTONE PEDIATRICS LLC
NPI 1528817194
Pediatrics in Decatur, GA

Q: What is Milestone Pediatrics LLC's NPI number?

The NPI number for Milestone Pediatrics LLC is 1528817194. It was assigned to this organization in the NPPES registry on May 16, 2024.

Q: What is Milestone Pediatrics LLC's specialty?

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

Active since May 16, 2024CLIA 11D1029838 · Waiver

1438 MCLENDON DR, DECATUR, GA 30033(770) 414-0337(855) 294-1992 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Milestone Pediatrics Llc NPPES

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

MILESTONE PEDIATRICS LLC (NPI 1528817194) is a healthcare organization registered as a pediatrics in Decatur, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Blessing Mbachu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528817194

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMILESTONE PEDIATRICS LLC

Location Address1438 MCLENDON DRDecatur, GA 30033-1802

Mailing Address1438 Mclendon DrDecatur, GA 30033-1802 · (770) 414-0337 · Fax (855) 294-1992

Phone(770) 414-0337

Fax(855) 294-1992

Organization SubpartNo

Authorized OfficialBlessing MbachuCeo · (770) 414-0337

Enumeration DateMay 16, 2024

NPPES CertifiedMay 16, 2024

✔ NPI 1528817194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

1438 MCLENDON DR, Decatur, GA 30033

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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

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 11D1029838

Milestone Pediatrics And Family Medicine PC · Decatur, GA

Active · expires Jan 21, 2027

CLIA Number11D1029838

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2025

Certificate Expiration DateJanuary 21, 2027

Laboratory DirectorIyabo Y. Okuwobi

Laboratory Phone(404) 277-9709

Laboratory LocationMilestone Pediatrics And Family Medicine PC1438 Mclendon Drive, Decatur, GA 30033

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MILESTONE FAMILY MEDICINE

Family Medicine