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PEDIATRIC ASSOCIATES OF JOHNS CREEK PC
NPI 1578685384
Pediatrics in Suwanee, GA

Active since April 04, 2007CLIA 11D0967013 · Certificate of Compliance
4310 JOHNS CREEK PKWY, STE 150, SUWANEE, GA 30024(770) 476-4020(770) 476-1674 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Associates Of Johns Creek Pc NPPES

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

PEDIATRIC ASSOCIATES OF JOHNS CREEK PC (NPI 1578685384) is a healthcare organization registered as a pediatrics in Suwanee, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 15, 2027 and lists Stacy Cragg, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1578685384
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF JOHNS CREEK PC
Location Address4310 JOHNS CREEK PKWY, STE 150Suwanee, GA 30024-6091
Mailing Address4310 Johns Creek Pkwy, Ste 150Suwanee, GA 30024-6091 · (770) 476-4020 · Fax (770) 476-1674
Phone(770) 476-4020
Fax(770) 476-1674
Organization SubpartNo
Authorized OfficialStacy CraggOffice Manager · (770) 476-4020
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578685384 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.
4310 JOHNS CREEK PKWY, Suwanee, GA 30024
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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 Compliance 11D0967013

Pediatric Associates Of Johns Creek PC · Suwanee, GA
Active · expires Dec 15, 2027
CLIA Number11D0967013
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorAaron M. Worth
Laboratory Phone(770) 476-4020
Laboratory LocationPediatric Associates Of Johns Creek PC4310 Johns Creek Parkway, Suite 150, Suwanee, GA 30024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 19

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

KARA LAUREN BARLOW M.D.
Pediatrics
4310 JOHNS CREEK PKWY, SUITE 150
SUWANEE, GA 30024
Gwinnett County (770) 476-4020
PENNY M FORMAN BLITZER MD
Pediatrics
4310 JOHNS CREEK PKWY, SUITE 150
SUWANEE, GA 30024
Gwinnett County (770) 476-4020
DR. ROBERT KOESTER PT, DPT, CSCS
Physical Therapist
4310 JOHNS CREEK PKWY, STE 130
SUWANEE, GA 30024
Gwinnett County (770) 495-0610
DR. SCOTT DEE GRIFFITH MD
Family Medicine
4310 JOHNS CREEK PKWY, STE 100
SUWANEE, GA 30024
Gwinnett County (678) 234-2332
LISA SUNDERMAN
Physical Therapist
4310 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 495-0610
KRADAN OSTBY O.T.
Occupational Therapist
4310 JOHNS CREEK PKWY, 100
SUWANEE, GA 30024
Gwinnett County (770) 814-2900
ABIGAIL NIERSBACH SHIOTELIS PT, DPT
Physical Therapist
4310 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 738-9657
ALICE HONG P.T.
Physical Therapist
4310 JOHNS CREEK PKWY, 100
SUWANEE, GA 30024
Gwinnett County (770) 814-2900

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 Pediatric Associates Of Johns Creek PC's NPI number?

The NPI number for Pediatric Associates Of Johns Creek PC is 1578685384. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Pediatric Associates Of Johns Creek PC located?

Pediatric Associates Of Johns Creek PC is located at 4310 Johns Creek Pkwy Ste 150, Suwanee, GA 30024. The listed phone number is (770) 476-4020.

What is Pediatric Associates Of Johns Creek PC's specialty?

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

Does Pediatric Associates Of Johns Creek PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0967013) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Of Johns Creek PC accept?

Health plans from Alliant Health Plans, Inc. list Pediatric Associates Of Johns Creek PC 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 Pediatric Associates Of Johns Creek PC 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.