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DAWSON PEDIATRICS,PC
NPI 1750435749
Pediatrics in Dawsonville, GA

Active since January 23, 2007CLIA Certified · 2 labs
300 DAWSON COMMONS CIR, SUITE 320, DAWSONVILLE, GA 30534(706) 216-2771(706) 216-2944 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dawson Pediatrics,pc NPPES

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

DAWSON PEDIATRICS,PC (NPI 1750435749) is a healthcare organization registered as a pediatrics in Dawsonville, Georgia and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Honorio Rowell Bulos, Owner-physician, as its authorized official.

NPPES Registry Identity

NPI1750435749
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDAWSON PEDIATRICS,PC
Location Address300 DAWSON COMMONS CIR, SUITE 320Dawsonville, GA 30534-6268
Mailing Address300 Dawson Commons Cir, Suite 320Dawsonville, GA 30534-6268 · (706) 216-2771 · Fax (706) 216-2944
Phone(706) 216-2771
Fax(706) 216-2944
Organization SubpartNo
Authorized OfficialHonorio Rowell BulosOwner-physician · (706) 216-2771
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 8, 2013
✔ NPI 1750435749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 48029
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.
300 DAWSON COMMONS CIR, Dawsonville, GA 30534
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Other Identifiers 1

Medicaid728415762AGA

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 2

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 Compliance 11D0909399

Dawson Pediatrics PC · Dawsonville, GA
Active · expires Feb 10, 2027
CLIA Number11D0909399
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorGlenda V. Pettaway
Laboratory Phone(706) 216-2771
Laboratory LocationDawson Pediatrics PC300 Dawson Commons Circle Suite 320, Dawsonville, GA 30534
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D2154067

Dawson Pediatrics, PC · Cumming, GA
Active · expires Sep 5, 2026
CLIA Number11D2154067
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorGlenda V. Pettaway
Laboratory Phone(706) 216-2771
Laboratory LocationDawson Pediatrics, PC1200 Bald Ridge Marina Road, Suite 100, Cumming, GA 30040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

TARA MISKO FNP-C
Nurse Practitioner (Family)
300 DAWSON COMMONS CIR
DAWSONVILLE, GA 30534
Dawson County (706) 216-2771
MS. DEBRA FLAX CPNP, APRN
Nurse Practitioner (Pediatrics)
300 DAWSON COMMONS CIR, STE 320
DAWSONVILLE, GA 30534
Dawson County (706) 216-2770
DR. HONORIO R BULOS M.D.,F.A.A.P.
Pediatrics (Adolescent Medicine)
300 DAWSON COMMONS CIR, STE 320
DAWSONVILLE, GA 30534
Dawson County (706) 216-2770
DR. CARMINA F BABAO M.D.,F.A.A.P.
Pediatrics (Adolescent Medicine)
300 DAWSON COMMONS CIR, STE. 320
DAWSONVILLE, GA 30534
Dawson County (706) 216-2770
RONALD MAGAT M.D.
Pediatrics (Adolescent Medicine)
300 DAWSON COMMONS CIR, SUITE 320
DAWSONVILLE, GA 30534
Dawson County (706) 216-2771
MRS. PEGGY WEBB BOOHER C.P.N.P.
Nurse Practitioner (Pediatrics)
300 DAWSON COMMONS CIR, STE. 320
DAWSONVILLE, GA 30534
Dawson County (706) 216-2770

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 Dawson Pediatrics,pc's NPI number?

The NPI number for Dawson Pediatrics,pc is 1750435749. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Dawson Pediatrics,pc located?

Dawson Pediatrics,pc is located at 300 Dawson Commons Cir Suite 320, Dawsonville, GA 30534. The listed phone number is (706) 216-2771.

What is Dawson Pediatrics,pc's specialty?

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

Does Dawson Pediatrics,pc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dawson Pediatrics,pc was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.