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NORCROSS PEDIATRIC CLINIC INC
NPI 1568516615
Pediatrics in Norcross, GA

Active since January 23, 2007CLIA 11D1025603 · Waiver
4608 JIMMY CARTER BLVD STE 7, NORCROSS, GA 30093(770) 938-6966(770) 938-6968 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Norcross Pediatric Clinic Inc NPPES

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

NORCROSS PEDIATRIC CLINIC INC (NPI 1568516615) is a healthcare organization registered as a pediatrics in Norcross, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Loan Hong Huynh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568516615
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORCROSS PEDIATRIC CLINIC INC
Location Address4608 JIMMY CARTER BLVD STE 7Norcross, GA 30093-3758
Mailing Address4608 Jimmy Carter Blvd Ste 7Norcross, GA 30093-3758 · (770) 938-6966 · Fax (770) 938-6968
Phone(770) 938-6966
Fax(770) 938-6968
Organization SubpartNo
Authorized OfficialLoan Hong HuynhCeo · (770) 938-6966
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568516615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 044941
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.
4608 JIMMY CARTER BLVD STE 7, Norcross, GA 30093
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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 MULTIPLE 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 11D1025603

Norcross Pediatric Clinic PC · Norcross, GA
Active · expires May 11, 2028
CLIA Number11D1025603
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorLoane H. Huynh
Laboratory Phone(770) 938-6966
Laboratory LocationNorcross Pediatric Clinic PC4608 Jimmy Carter Boulevard, Suite 7, Norcross, GA 30093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

NORCROSS PEDIATRIC AND FAMILY MEDICINE CORPORATION
Clinic/Center (Primary Care)
4608 JIMMY CARTER BLVD STE 7
NORCROSS, GA 30093
Gwinnett County (770) 938-6966
SARVPREET KAUR MD
Pediatrics
4608 JIMMY CARTER BLVD STE 7
NORCROSS, GA 30093
Gwinnett County (770) 938-6966
HEATHER LEE CLEMONS M.D.
Pediatrics
4608 JIMMY CARTER BLVD STE 7
NORCROSS, GA 30093
Gwinnett County (770) 938-6966

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 Norcross Pediatric Clinic Inc's NPI number?

The NPI number for Norcross Pediatric Clinic Inc is 1568516615. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Norcross Pediatric Clinic Inc located?

Norcross Pediatric Clinic Inc is located at 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093. The listed phone number is (770) 938-6966.

What is Norcross Pediatric Clinic Inc's specialty?

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

Does Norcross Pediatric Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1025603) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Norcross Pediatric Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.