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VILLAGE PEDIATRICS, PC
NPI 1598101388
Pediatrics in Dacula, GA

Active since May 20, 2013CLIA 11D2060242 · Waiver
1862 AUBURN RD, SUITE 107, DACULA, GA 30019(678) 288-4142(678) 288-4143 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Pediatrics, Pc NPPES

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

VILLAGE PEDIATRICS, PC (NPI 1598101388) is a healthcare organization registered as a pediatrics in Dacula, Georgia and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Gina Maxey, Vice President, as its authorized official.

NPPES Registry Identity

NPI1598101388
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVILLAGE PEDIATRICS, PC
Location Address1862 AUBURN RD, SUITE 107Dacula, GA 30019-1676
Mailing Address1862 Auburn Rd, Suite 107Dacula, GA 30019-1676 · (678) 288-4142 · Fax (678) 288-4143
Phone(678) 288-4142
Fax(678) 288-4143
Organization SubpartNo
Authorized OfficialGina MaxeyVice President · (678) 288-4142
Enumeration DateMay 20, 2013
✔ NPI 1598101388 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.
1862 AUBURN RD, Dacula, GA 30019
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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 11D2060242

Village Pediatrics, PC · Dacula, GA
Active · expires Jun 9, 2027
CLIA Number11D2060242
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorDr. Gina M. Maxey
Laboratory Phone(678) 288-4142
Laboratory LocationVillage Pediatrics, PC1862 Auburn Road, Suite 107, Dacula, GA 30019
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.

GINA M MAXEY M.D.
Pediatrics
1862 AUBURN RD
DACULA, GA 30019
Gwinnett County (678) 288-4142
MRS. JENNIFER SUZANNE CANTRELL CPNP
Nurse Practitioner (Pediatrics)
1862 AUBURN RD, SUITE 107
DACULA, GA 30019
Gwinnett County (678) 288-4142
GIVING HOPE COMMUNITY CENTER INC
Community/Behavioral Health
1862 AUBURN RD
DACULA, GA 30019
Gwinnett County (470) 994-0004

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, PC's NPI number?

The NPI number for Village Pediatrics, PC is 1598101388. It was assigned to this organization in the NPPES registry on May 20, 2013.

Where is Village Pediatrics, PC located?

Village Pediatrics, PC is located at 1862 Auburn Rd Suite 107, Dacula, GA 30019. The listed phone number is (678) 288-4142.

What is Village Pediatrics, PC's specialty?

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

Does Village Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2060242) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Pediatrics, PC was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.