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KIDS FIRST PEDIATRIC GROUP, LLC
NPI 1720117989
Pediatrics in Stockbridge, GA

Active since March 05, 2007CLIA 11D0969768 · Waiver
1045 SOUTHCREST DR, SUITE 110, STOCKBRIDGE, GA 30281(770) 507-2212(770) 507-2213 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kids First Pediatric Group, Llc NPPES

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

KIDS FIRST PEDIATRIC GROUP, LLC (NPI 1720117989) is a healthcare organization registered as a pediatrics in Stockbridge, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Elaine C Youngblood, Physican Owner, as its authorized official.

NPPES Registry Identity

NPI1720117989
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS FIRST PEDIATRIC GROUP, LLC
Location Address1045 SOUTHCREST DR, SUITE 110Stockbridge, GA 30281-6113
Mailing Address1045 Southcrest Dr, Suite 110Stockbridge, GA 30281-6113 · (770) 507-2212 · Fax (770) 507-2213
Phone(770) 507-2212
Fax(770) 507-2213
Organization SubpartNo
Authorized OfficialElaine C YoungbloodPhysican Owner · (770) 506-2212
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1720117989 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.
1045 SOUTHCREST DR, Stockbridge, GA 30281
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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 11D0969768

Kids First Pediatric Group LLC · Stockbridge, GA
Active · expires Sep 22, 2026
CLIA Number11D0969768
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorElaine C. Youngblood
Laboratory Phone(770) 507-2212
Laboratory LocationKids First Pediatric Group LLC1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281
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 10

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

MEYONCA JACKSON PHARMD,
Pharmacist (Oncology)
1045 SOUTHCREST DR
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
MS. TINA M. GRALL FNP-C
Nurse Practitioner
1045 SOUTHCREST DR, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
MR. KENNON HOWARD MCCOLLUM MSN
Nurse Practitioner
1045 SOUTHCREST DR, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
SHEILA D BLAKE RN, MNS,CPNP
Nurse Practitioner (Pediatrics)
1045 SOUTHCREST DR, SUITE 110
STOCKBRIDGE, GA 30281
Henry County (770) 507-2212
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Durable Medical Equipment & Medical Supplies
1045 SOUTHCREST DR, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
DR. RUTH R. SARMIENTO M.D.
Internal Medicine (Hematology & Oncology)
1045 SOUTHCREST DR, STE. 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
DR. SERGE GEFFRARD M.D.
Hospitalist
1045 SOUTHCREST DR, STE 220
STOCKBRIDGE, GA 30281
Henry County (678) 289-1988
ELAINE C YOUNGBLOOD MD
Pediatrics
1045 SOUTHCREST DR, STE 110
STOCKBRIDGE, GA 30281
Henry County (770) 507-2212

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 Kids First Pediatric Group, LLC's NPI number?

The NPI number for Kids First Pediatric Group, LLC is 1720117989. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Kids First Pediatric Group, LLC located?

Kids First Pediatric Group, LLC is located at 1045 Southcrest Dr Suite 110, Stockbridge, GA 30281. The listed phone number is (770) 507-2212.

What is Kids First Pediatric Group, LLC's specialty?

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

Does Kids First Pediatric Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0969768) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kids First Pediatric Group, LLC was last updated on January 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.