1. Home
  2. Directory
  3. Georgia
  4. Woodstock
  5. Pediatrics
  6. NPI Profile

WOODSTOCK PEDIATRIC MEDICINE
NPI 1841402781
Pediatrics in Woodstock, GA

Active since May 04, 2007CLIA Certified · 2 labs
2000 PROFESSIONAL WAY, BLDG 200, WOODSTOCK, GA 30188(770) 517-0250(770) 517-0260 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Woodstock Pediatric Medicine NPPES

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

WOODSTOCK PEDIATRIC MEDICINE (NPI 1841402781) is a healthcare organization registered as a pediatrics in Woodstock, Georgia and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelly Marulanda, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1841402781
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWOODSTOCK PEDIATRIC MEDICINE
Location Address2000 PROFESSIONAL WAY, BLDG 200Woodstock, GA 30188-4093
Mailing Address2000 Professional Way, Bldg 200Woodstock, GA 30188-4093 · (770) 517-0250 · Fax (770) 517-0260
Phone(770) 517-0250
Fax(770) 517-0260
Organization SubpartNo
Authorized OfficialKelly MarulandaPractice Manager · (770) 517-0250
Enumeration DateMay 4, 2007
Last NPPES UpdateMarch 21, 2012
✔ NPI 1841402781 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.
2000 PROFESSIONAL WAY, Woodstock, GA 30188
Open in Google Maps ↗

Other Identifiers 1

Medicaid085001488GGA

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 2

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 11D2027907

Woodstock Pediatric Medicine PC · Woodstock, GA
Active · expires Aug 3, 2027
CLIA Number11D2027907
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorFrini D. Shah
Laboratory Phone(770) 517-0250
Laboratory LocationWoodstock Pediatric Medicine PC2000 Professional Way, Bldg 100, Suite A, Woodstock, GA 30188
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0921010

Woodstock Pediatric Medicine PC · Woodstock, GA
Active · expires Apr 19, 2028
CLIA Number11D0921010
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorFrini D. Shah
Laboratory Phone(770) 517-8788
Laboratory LocationWoodstock Pediatric Medicine PC2000 Professional Way #200, Woodstock, GA 30188
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JORDANA A HEAVEN MD
Pediatrics
2000 PROFESSIONAL WAY, STE 200
WOODSTOCK, GA 30188
Cherokee County (770) 517-0250
DR. FERDINAND DOMENIC YATES JR. M.D.
Pediatrics
2000 PROFESSIONAL WAY, #200
WOODSTOCK, GA 30188
Cherokee County (770) 517-0250
FRINI SHAH MD
Pediatrics
2000 PROFESSIONAL WAY, BLDG 200
WOODSTOCK, GA 30188
Cherokee County (770) 517-0250
ADRIANA RZEZNIK MD
Pediatrics
2000 PROFESSIONAL WAY, BLDG 200 STE B
WOODSTOCK, GA 30188
Cherokee County (770) 517-0250
MRS. SHANNON KATHLEEN DOBSON CPNP
Nurse Practitioner (Pediatrics)
2000 PROFESSIONAL WAY, SUITE 200
WOODSTOCK, GA 30188
Cherokee County (770) 517-0250

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 Woodstock Pediatric Medicine's NPI number?

The NPI number for Woodstock Pediatric Medicine is 1841402781. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Woodstock Pediatric Medicine located?

Woodstock Pediatric Medicine is located at 2000 Professional Way Bldg 200, Woodstock, GA 30188. The listed phone number is (770) 517-0250.

What is Woodstock Pediatric Medicine's specialty?

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

Does Woodstock Pediatric Medicine hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Woodstock Pediatric Medicine was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.