HEALTHY STAGES PEDIATRICS
NPI 1821496241
Nurse Practitioner - Pediatrics in Morrow, GA

Active since December 17, 2014CLIA 11D0257427 · Waiver
1115 MOUNT ZION RD, SUITE E, MORROW, GA 30260(770) 960-9999(770) 960-0931 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Stages Pediatrics NPPES

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

HEALTHY STAGES PEDIATRICS (NPI 1821496241) is a healthcare organization registered as a pediatrics in Morrow, Georgia and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Naiomi M Shockley, Owner, as its authorized official.

NPPES Registry Identity

NPI1821496241
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameHEALTHY STAGES PEDIATRICS
Location Address1115 MOUNT ZION RD, SUITE EMorrow, GA 30260-2266
Mailing Address1115 Mount Zion Rd, Suite EMorrow, GA 30260-2266 · (770) 960-9999 · Fax (770) 960-0931
Fax(770) 960-0931
Organization SubpartNo
Authorized OfficialNaiomi M ShockleyOwner · (770) 960-9999
Enumeration DateDecember 17, 2014
NPI 1821496241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN159492
1115 MOUNT ZION RD, Morrow, GA 30260

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

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 11D0257427

Healthy Stages Pediatrics · Morrow, GA
Active · expires Aug 31, 2026
CLIA Number11D0257427
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNaiomi M. Shockley
Laboratory Phone(770) 960-9999
Laboratory LocationHealthy Stages Pediatrics1115 Mount Zion Road Suite E, Morrow, GA 30260
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 14

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

Counselor (Professional)
1115 MOUNT ZION RD
MORROW, GA 30260
Orthopaedic Surgery (Hand Surgery)
1115 MOUNT ZION RD, SUITE J
MORROW, GA 30260
Specialist/Technologist, Other (Surgical Assistant)
1115 MOUNT ZION RD
MORROW, GA 30260
Home Health
1115 MOUNT ZION RD, SUITE 13
MORROW, GA 30260
Community/Behavioral Health
1115 MOUNT ZION RD
MORROW, GA 30260
Internal Medicine
1115 MOUNT ZION RD, SUITE J
MORROW, GA 30260
Orthopaedic Surgery
1115 MOUNT ZION RD, SUITE J
MORROW, GA 30260
Nurse Practitioner (Primary Care)
1115 MOUNT ZION RD
MORROW, GA 30260

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 Healthy Stages Pediatrics's NPI number?

The NPI number for Healthy Stages Pediatrics is 1821496241. It was assigned to this organization in the NPPES registry on December 17, 2014.

Where is Healthy Stages Pediatrics located?

Healthy Stages Pediatrics is located at 1115 Mount Zion Rd Suite E, Morrow, GA 30260. The listed phone number is (770) 960-9999.

What is Healthy Stages Pediatrics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Healthy Stages Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0257427) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthy Stages Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Healthy Stages Pediatrics 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 Healthy Stages Pediatrics was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.