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PEDIATRIC ASSOCIATES, PC
NPI 1790994317
Pediatrics in Marietta, GA

Active since May 21, 2007
3000 JOHNSON FERRY RD, SUITE 204, MARIETTA, GA 30062(770) 993-2922(770) 993-7325 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Associates, Pc NPPES

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

PEDIATRIC ASSOCIATES, PC (NPI 1790994317) is a healthcare organization registered as a pediatrics in Marietta, Georgia and active in the NPI registry since May 2007. The organization lists Robert M. Licata, President, as its authorized official.

NPPES Registry Identity

NPI1790994317
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES, PC
Location Address3000 JOHNSON FERRY RD, SUITE 204Marietta, GA 30062-5683
Mailing Address3000 Johnson Ferry Rd, Suite 204Marietta, GA 30062-5683 · (770) 993-2922 · Fax (770) 993-7325
Phone(770) 993-2922
Fax(770) 993-7325
Organization SubpartNo
Authorized OfficialRobert M. LicataPresident · (770) 993-2922
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790994317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 025457
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.
3000 JOHNSON FERRY RD, Marietta, GA 30062
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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

Other Providers at the Same Location NPPES 4

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

GAIL BEULAH PIKHOLZ MD
Pediatrics
3000 JOHNSON FERRY RD, SUITE 204
MARIETTA, GA 30062
Cobb County (770) 993-2922
MICHELLE OZ D.C.
Chiropractor
3000 JOHNSON FERRY RD, SUITE 102
MARIETTA, GA 30062
Cobb County (770) 552-7979
JENNIFER LYNN MOLESKI-FRICKEL D.C.
Chiropractor
3000 JOHNSON FERRY RD, SUITE 102
MARIETTA, GA 30062
Cobb County (770) 552-7979
MARYGRACE REYES ANI MD
Pediatrics
3000 JOHNSON FERRY RD, SUITE 204
MARIETTA, GA 30062
Cobb County (770) 993-2922

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 Pediatric Associates, PC's NPI number?

The NPI number for Pediatric Associates, PC is 1790994317. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Pediatric Associates, PC located?

Pediatric Associates, PC is located at 3000 Johnson Ferry Rd Suite 204, Marietta, GA 30062. The listed phone number is (770) 993-2922.

What is Pediatric Associates, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.