WELLSTAR EAST PAULDING PEDIATRIC CENTER, LLC
NPI 1841246337
Pediatrics in Hiram, GA

Active since May 26, 2006CLIA 11D0957025 · Waiver
51 HIRAM DR, BUILDING B, HIRAM, GA 30141(678) 945-8300(770) 445-2060 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • CLIA Number: 11D0957025
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-26-2026

About WELLSTAR EAST PAULDING PEDIATRIC CENTER, LLC

This page provides the complete NPI Profile along with additional information for Wellstar East Paulding Pediatric Center, Llc, a pediatrician established in Hiram, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1841246337 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)

NPI
1841246337 Verify this NPI
Provider Name
WELLSTAR EAST PAULDING PEDIATRIC CENTER, LLC
Entity Type
Organization
Location Address
51 HIRAM DR BUILDING B HIRAM, GA 30141
Location Phone
(678) 945-8300
Location Fax
(770) 445-2060
Mailing Address
51 HIRAM DR BUILDING B HIRAM, GA 30141
Mailing Phone
(678) 945-8300
Mailing Fax
(770) 445-2060
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-26-2006
Last Update Date
07-14-2008
Code Navigator

A pediatrician like Wellstar East Paulding Pediatric Center, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(770) 792-5261

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0957025
Facility Type
Physician Office
Certificate Effective Date
October 27, 2024
Certificate Expiration Date
October 26, 2026
Laboratory Director
AMY MURRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar East Paulding Pediatric Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Specialist
51 HIRAM DR
HIRAM, GA 30141
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Nurse Practitioner (Pediatrics)
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141
Pediatrics
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841246337, enumerated as an "organization" on May 26, 2006.

The provider is located at 51 HIRAM DR BUILDING B HIRAM, GA 30141 and the phone number is (678) 945-8300.

Pediatrics with taxonomy code 208000000X.