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CONYERS PEDIATRICS, PC
NPI 1831217157
Pediatrics in Conyers, GA

Active since March 26, 2007CLIA 11D0671317 · Certificate of Compliance
1277B WELLBROOK CIR NE, CONYERS, GA 30012(770) 922-5745(770) 922-4924 Get Directions Write a Review

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

About Conyers Pediatrics, Pc NPPES

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

CONYERS PEDIATRICS, PC (NPI 1831217157) is a healthcare organization registered as a pediatrics in Conyers, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 4, 2027 and lists Alicia W Senn, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1831217157
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCONYERS PEDIATRICS, PC
Location Address1277B WELLBROOK CIR NEConyers, GA 30012-3873
Mailing Address1277b Wellbrook Cir NeConyers, GA 30012-3873 · (770) 922-5745 · Fax (770) 922-4924
Phone(770) 922-5745
Fax(770) 922-4924
Organization SubpartNo
Authorized OfficialAlicia W SennPractice Administrator · (770) 922-5745
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1831217157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
1277B WELLBROOK CIR NE, Conyers, GA 30012
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Other Identifiers 2

Other4544GA · Aetna
Medicaid85000351GGA

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

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 11D0671317

Conyers Pediatrics PC · Conyers, GA
Active · expires Aug 4, 2027
CLIA Number11D0671317
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorHugo A. Scornik
Laboratory Phone(770) 922-5745
Laboratory LocationConyers Pediatrics PC1277-B Wellbrook Circle NE, Conyers, GA 30012
CLIA data matches this NPI record on: 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.

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 Conyers Pediatrics, PC's NPI number?

The NPI number for Conyers Pediatrics, PC is 1831217157. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Conyers Pediatrics, PC located?

Conyers Pediatrics, PC is located at 1277B Wellbrook Cir NE, Conyers, GA 30012. The listed phone number is (770) 922-5745.

What is Conyers Pediatrics, PC's specialty?

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

Does Conyers Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0671317) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conyers Pediatrics, 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.