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EGLESTON PEDATRIC GROUP
NPI 1558415232
Pediatrics in Duluth, GA

Active since January 22, 2007
2620 SATELLITE BLVD, DULUTH, GA 30096(404) 785-8000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Egleston Pedatric Group NPPES

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

EGLESTON PEDATRIC GROUP (NPI 1558415232) is a healthcare organization registered as a pediatrics in Duluth, Georgia and active in the NPI registry since January 2007. The organization lists Louetta Cody, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1558415232
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEGLESTON PEDATRIC GROUP
Location Address2620 SATELLITE BLVDDuluth, GA 30096-1204
Mailing Address1584 Tullie Cir NeAtlanta, GA 30329-2311 · (404) 785-7928
Phone(404) 785-8000
Organization SubpartNo
Authorized OfficialLouetta CodyManager, Provider Enrollment · (404) 785-7876
Enumeration DateJanuary 22, 2007
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1558415232 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.
2620 SATELLITE BLVD, Duluth, GA 30096
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. DEBORAH LYN CARTER MD
Anesthesiology
2620 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8007
JANET OWEN BROWN AA-C
Anesthesiologist Assistant
2620 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8000
ANDREA BAKER CRNA, DNP
Nurse Anesthetist, Certified Registered
2620 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8000
JOAN EILEEN JAY CRNA
Nurse Anesthetist, Certified Registered
2620 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8000

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 Egleston Pedatric Group's NPI number?

The NPI number for Egleston Pedatric Group is 1558415232. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Egleston Pedatric Group located?

Egleston Pedatric Group is located at 2620 Satellite Blvd, Duluth, GA 30096. The listed phone number is (404) 785-8000.

What is Egleston Pedatric Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Egleston Pedatric Group was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.