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KIDS AVENUE PEDIATRICS LLC
NPI 1801057609
Pediatrics in College Park, GA

Active since June 24, 2008
1720 PHOENIX BLVD, SUITE900, COLLEGE PARK, GA 30349(770) 909-8007(770) 909-8005 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kids Avenue Pediatrics Llc NPPES

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

KIDS AVENUE PEDIATRICS LLC (NPI 1801057609) is a healthcare organization registered as a pediatrics in College Park, Georgia and active in the NPI registry since June 2008. The organization lists Phyllis Stembridge, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1801057609
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS AVENUE PEDIATRICS LLC
Location Address1720 PHOENIX BLVD, SUITE900College Park, GA 30349-5594
Mailing Address1720 Phoenix Blvd, Suite900College Park, GA 30349-5594 · (770) 909-8007 · Fax (770) 909-8005
Phone(770) 909-8007
Fax(770) 909-8005
Organization SubpartNo
Authorized OfficialPhyllis StembridgePractice Manager · (770) 909-8007
Enumeration DateJune 24, 2008
✔ NPI 1801057609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 027036
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.
1720 PHOENIX BLVD, College Park, GA 30349
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Other Identifiers 1

Medicaid497361413AGA

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 13

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

DR. SANDRA WORDLAW-WATKINS M.D.
Family Medicine
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 997-9928
DR. KAREN YVONNE LUSTER M.D.
Internal Medicine
1720 PHOENIX BLVD, STE 700
COLLEGE PARK, GA 30349
Fulton County (470) 369-7800
DR. JANELLA LYNNE THOMAS-BURSE M.D.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
MS. KARYN L KOCHAN MS, LPC
Counselor (Professional)
1720 PHOENIX BLVD, STE 540
ATLANTA, GA 30349
Fulton County (770) 875-6376
DR. ALECIA RENEE LOVELADY MD
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
KIDS AVENUE PEDIATRICS LLC
Pediatrics
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 909-8007
MS. SUSAN RACHELLE WINFIELD L.P.C.
Counselor (Professional)
1720 PHOENIX BLVD, SUITE 540
COLLEGE PARK, GA 30349
Fulton County (770) 909-9500
PHOENIX WOMEN'S CENTER, P.C.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792

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 Avenue Pediatrics LLC's NPI number?

The NPI number for Kids Avenue Pediatrics LLC is 1801057609. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Kids Avenue Pediatrics LLC located?

Kids Avenue Pediatrics LLC is located at 1720 Phoenix Blvd Suite900, College Park, GA 30349. The listed phone number is (770) 909-8007.

What is Kids Avenue Pediatrics LLC'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 Kids Avenue Pediatrics LLC was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.