EAGLES LANDING PEDIATRIC ASSOCIATES LLC
NPI 1740407550
Clinic/Center - Primary Care in Stockbridge, GA

Active since April 20, 2007CLIA 11D0960900 · Waiver
1101 HOSPITAL DR, SUITE 210, STOCKBRIDGE, GA 30281(678) 289-0103(678) 289-0171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagles Landing Pediatric Associates Llc NPPES

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

EAGLES LANDING PEDIATRIC ASSOCIATES LLC (NPI 1740407550) is a healthcare organization registered as a primary care in Stockbridge, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Steven Wayne Leard, Ownerphysician, as its authorized official.

NPPES Registry Identity

NPI1740407550
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEAGLES LANDING PEDIATRIC ASSOCIATES LLC
Location Address1101 HOSPITAL DR, SUITE 210Stockbridge, GA 30281-9075
Mailing Address1101 Hospital Dr, Suite 210Stockbridge, GA 30281-9075 · (678) 289-0103 · Fax (678) 289-0171
Fax(678) 289-0171
Organization SubpartNo
Authorized OfficialSteven Wayne LeardOwnerphysician · (678) 289-0103
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1740407550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 040449
1101 HOSPITAL DR, Stockbridge, GA 30281

Accepted 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 11D0960900

Eagles Landing Pediatric Associates LLC · Stockbridge, GA
Active · expires May 23, 2027
CLIA Number11D0960900
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorSteven W. Leard
Laboratory Phone(678) 289-0103
Laboratory LocationEagles Landing Pediatric Associates LLC1101 Hospital Drive, Suite 210, 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 8

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

Pediatrics (Adolescent Medicine)
1101 HOSPITAL DR, SUITE 210
STOCKBRIDGE, GA 30281
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Internal Medicine (Rheumatology)
1101 HOSPITAL DR, SUITE 200
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281

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 Eagles Landing Pediatric Associates LLC's NPI number?

The NPI number for Eagles Landing Pediatric Associates LLC is 1740407550. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Eagles Landing Pediatric Associates LLC located?

Eagles Landing Pediatric Associates LLC is located at 1101 Hospital Dr Suite 210, Stockbridge, GA 30281. The listed phone number is (678) 289-0103.

What is Eagles Landing Pediatric Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Eagles Landing Pediatric Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0960900) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagles Landing Pediatric Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eagles Landing Pediatric Associates LLC 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 Eagles Landing Pediatric Associates LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.