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VICKERY PEDIATRICS AND ADOLESCENT MEDICINE
NPI 1639297401
Pediatrics - Adolescent Medicine in Cumming, GA

Active since March 27, 2007CLIA 11D1043236 · Waiver
410 PEACHTREE PKWY STE 4260, CUMMING, GA 30041(678) 990-2501(678) 990-2505 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vickery Pediatrics And Adolescent Medicine NPPES

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

VICKERY PEDIATRICS AND ADOLESCENT MEDICINE (NPI 1639297401) is a healthcare organization registered as an adolescent medicine in Cumming, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Gwendolyn A Delaney, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639297401
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameGWENDOLYN A. DELANEY, M.D. LLC
Location Address410 PEACHTREE PKWY STE 4260Cumming, GA 30041-7407
Mailing Address410 Peachtree Pkwy Ste 4260Cumming, GA 30041-7407 · (678) 990-2501 · Fax (678) 990-2505
Phone(678) 990-2501
Fax(678) 990-2505
Organization SubpartNo
Authorized OfficialGwendolyn A DelaneyManaging Member · (678) 990-2501
Enumeration DateMarch 27, 2007
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1639297401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in GA · 049380✔ Licensed in GA · 051519
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
410 PEACHTREE PKWY STE 4260, Cumming, GA 30041
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Other Names 1

Doing Business AsVickery Pediatrics And Adolescent Medicine

Other Identifiers 1

Medicaid000885431QGA

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 11D1043236

Vickery Pediatrics, LLC · Cumming, GA
Active · expires Jun 24, 2027
CLIA Number11D1043236
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorGwendolyn A. Delaney MD
Laboratory Phone(678) 990-2505
Laboratory LocationVickery Pediatrics, LLC410 Peachtree Parkway, Suite 4260, Cumming, GA 30041
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 3

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

MS. KAREN JOAN MELDE NP
Nurse Practitioner (Pediatrics)
410 PEACHTREE PKWY STE 4260
CUMMING, GA 30041
Forsyth County (678) 990-2501
DR. SARINA KAUR CHHINA DO
Pediatrics
410 PEACHTREE PKWY STE 4260
CUMMING, GA 30041
Forsyth County (678) 990-2501
GWENDOLYN A DELANEY MD
Pediatrics
410 PEACHTREE PKWY STE 4260
CUMMING, GA 30041
Forsyth County (678) 990-2501

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 Gwendolyn A. Delaney, M.D. LLC's NPI number?

The NPI number for Gwendolyn A. Delaney, M.D. LLC is 1639297401. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Vickery Pediatrics And Adolescent Medicine.

Where is Gwendolyn A. Delaney, M.D. LLC located?

Gwendolyn A. Delaney, M.D. LLC is located at 410 Peachtree Pkwy Ste 4260, Cumming, GA 30041. The listed phone number is (678) 990-2501.

What is Gwendolyn A. Delaney, M.D. LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Gwendolyn A. Delaney, M.D. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1043236) is associated with this NPI, valid through June 24, 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 Gwendolyn A. Delaney, M.D. LLC was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.