ENDOHEALTH
NPI 1710428305
Pediatrics - Pediatric Endocrinology in Kennesaw, GA

Q: What is Endohealth's NPI number?

The NPI number for Endohealth is 1710428305. It was assigned to this organization in the NPPES registry on March 15, 2017.

Q: What is Endohealth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Endohealth was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 15, 2017CLIA 11D2169009 · Waiver

1690 STONE VILLAGE LN NW STE 207, KENNESAW, GA 30152(678) 829-6030 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2017, Mar 15, 2017 (2 updates tracked since 2017).

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About Endohealth NPPES

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

ENDOHEALTH (NPI 1710428305) is a healthcare organization registered as a pediatric endocrinology in Kennesaw, Georgia and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Gayathri K Devineni, Dr, as its authorized official.

NPPES Registry Identity

NPI1710428305

Entity TypeOrganization

Primary Taxonomy2080P0205X

Legal Business NameENDOHEALTH

Location Address1690 STONE VILLAGE LN NW STE 207Kennesaw, GA 30152-7778

Mailing Address240 Glen Lake DrAtlanta, GA 30327-4818

Phone(678) 829-6030

Organization SubpartNo

Authorized OfficialGayathri K DevineniDr · (678) 829-6030

Enumeration DateMarch 15, 2017

Last NPPES UpdateMarch 31, 20172 updates tracked since enumeration

✔ NPI 1710428305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in GA · 061573

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

1690 STONE VILLAGE LN NW STE 207, Kennesaw, GA 30152

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Other Identifiers 1

Other1619154184GA · Nupin

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 Waiver 11D2169009

Endohealth · Marietta, GA

Active · expires Jul 14, 2027

CLIA Number11D2169009

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorGayathri K. Devineni

Laboratory Phone(678) 829-6030

Laboratory LocationEndohealth135 Vann Street, Marietta, GA 30060

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Endohealth's NPI number?

The NPI number for Endohealth is 1710428305. It was assigned to this organization in the NPPES registry on March 15, 2017.

Where is Endohealth located?

Endohealth is located at 1690 Stone Village Ln NW Ste 207, Kennesaw, GA 30152. The listed phone number is (678) 829-6030.

What is Endohealth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Does Endohealth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2169009) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endohealth accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Endohealth 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 Endohealth was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.