PEDIATRIC MEDICINE OF CARTERSVILLE, P.C.
NPI 1851444632
Nurse Practitioner - Family in Cartersville, GA

Q: What is Pediatric Medicine Of Cartersville, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 18, 2007CLIA 11D1006513 · Waiver

20 COLLINS DR, SUITE B, CARTERSVILLE, GA 30120(770) 607-0795(770) 607-1339 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Pediatric Medicine Of Cartersville, P.c. NPPES

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

PEDIATRIC MEDICINE OF CARTERSVILLE, P.C. (NPI 1851444632) is a healthcare organization registered as a family in Cartersville, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Thomas D Ryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851444632

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePEDIATRIC MEDICINE OF CARTERSVILLE, P.C.

Location Address20 COLLINS DR, SUITE BCartersville, GA 30120-2486

Mailing Address20 Collins Dr, Suite BCartersville, GA 30120-2486 · (770) 607-0795 · Fax (770) 607-1339

Phone(770) 607-0795

Fax(770) 607-1339

Organization SubpartNo

Authorized OfficialThomas D RyanCeo · (770) 607-0795

Enumeration DateJanuary 18, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1851444632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN120899

Also ListedPediatricsTaxonomy 208000000X · License 042415 (GA)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN089950 (GA)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Waiver 11D1006513

Pediatric Medicine Of Cartersville PC · Cartersville, GA

Active · expires Nov 24, 2026

CLIA Number11D1006513

Laboratory TypePhysician Office

Certificate Effective DateNovember 25, 2024

Certificate Expiration DateNovember 24, 2026

Laboratory DirectorThomas D. Ryan

Laboratory Phone(770) 607-0795

Laboratory LocationPediatric Medicine Of Cartersville PC20 Collins Drive Suite B, Cartersville, GA 30120

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

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

DR. THOMAS DONALD RYAN M.D.

Pediatrics

20 COLLINS DR, SUITE B
CARTERSVILLE, GA 30120

Bartow County (770) 607-0795

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 Pediatric Medicine Of Cartersville, P.C.'s NPI number?

The NPI number for Pediatric Medicine Of Cartersville, P.C. is 1851444632. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Pediatric Medicine Of Cartersville, P.C. located?

Pediatric Medicine Of Cartersville, P.C. is located at 20 Collins Dr Suite B, Cartersville, GA 30120. The listed phone number is (770) 607-0795.

What is Pediatric Medicine Of Cartersville, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Pediatric Medicine Of Cartersville, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1006513) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Medicine Of Cartersville, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.