SOUTHSIDE PEDIATRICS
NPI 1659580215
Pediatrics in Stockbridge, GA

Active since May 21, 2007
151 NORTH PARK TRAIL, SUITE A, STOCKBRIDGE, GA 30281(678) 565-3300(678) 565-3311 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Pediatrics NPPES

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

SOUTHSIDE PEDIATRICS (NPI 1659580215) is a healthcare organization registered as a pediatrics in Stockbridge, Georgia and active in the NPI registry since May 2007. The organization lists Ravi S Iyer, President, as its authorized official.

NPPES Registry Identity

NPI1659580215
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHSIDE PEDIATRICS
Location Address151 NORTH PARK TRAIL, SUITE AStockbridge, GA 30281-7373
Mailing Address151 North Park Trail, Suite AStockbridge, GA 30281-7373 · (678) 565-3300 · Fax (678) 565-3311
Fax(678) 565-3311
Organization SubpartNo
Authorized OfficialRavi S IyerPresident · (678) 565-3300
Enumeration DateMay 21, 2007
Last NPPES UpdateOctober 14, 2010
NPI 1659580215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 042292
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.
151 NORTH PARK TRAIL, Stockbridge, GA 30281

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

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 Southside Pediatrics's NPI number?

The NPI number for Southside Pediatrics is 1659580215. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Southside Pediatrics located?

Southside Pediatrics is located at 151 North Park Trail Suite A, Stockbridge, GA 30281. The listed phone number is (678) 565-3300.

What is Southside Pediatrics'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 Southside Pediatrics was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.