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DR. BEATRICE CLODOMIR D.O.
NPI 1760640924
Pediatrics in Stone Mountain, GA

Active since May 23, 2008PECOS Enrolled
5582 MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 298-8998(404) 298-7658 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beatrice Clodomir D.o. NPPES

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

DR. BEATRICE CLODOMIR D.O. (NPI 1760640924) is an individual pediatrics provider in Stone Mountain, Georgia, licensed in Georgia (65531) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760640924
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BEATRICE CLODOMIRCredential: D.O.
Location Address5582 MEMORIAL DRStone Mountain, GA 30083-3215
Mailing Address5582 Memorial DrStone Mountain, GA 30083-3215 · (404) 298-8998 · Fax (404) 298-7658
Phone(404) 298-8998
Fax(404) 298-7658
Sole ProprietorNo
Enumeration DateMay 23, 2008
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1760640924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 65531
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.
5582 MEMORIAL DR, Stone Mountain, GA 30083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Beatrice Clodomir D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

JULIE NOELLE KNISELY FNP-BC
Nurse Practitioner (Family)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
LASHANDA DENISE MOORE NP
Nurse Practitioner (Family)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
AARHEA HOPE DNP, FNP-C
Nurse Practitioner (Family)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
MEDCURA HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
MEDCURA HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
ASHLEY SMALLWOOD CPNP
Nurse Practitioner (Pediatrics)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 564-6703
CHELSEA BIANCA ROBINSON NP
Nurse Practitioner (Adult Health)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998
TESSA MCDONNELL FNP-BC
Nurse Practitioner (Family)
5582 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 298-8998

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 Beatrice Clodomir's NPI number?

The NPI number for Beatrice Clodomir is 1760640924. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Beatrice Clodomir located?

Beatrice Clodomir practices at 5582 Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 298-8998.

What is Beatrice Clodomir's specialty?

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

Is Beatrice Clodomir enrolled in Medicare?

Yes. Beatrice Clodomir is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beatrice Clodomir was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.