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DAFFODIL PEDIATRICS AND FAMILY MEDICINE
NPI 1851663124
Pediatrics in Forest Park, GA

Active since February 02, 2012CLIA Certified · 4 labs
4905 COURTNEY DRIVE, FOREST PARK, GA 30297(404) 366-3636(404) 362-0808 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daffodil Pediatrics And Family Medicine NPPES

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

DAFFODIL PEDIATRICS AND FAMILY MEDICINE (NPI 1851663124) is a healthcare organization registered as a pediatrics in Forest Park, Georgia and active in the NPI registry since February 2012. The organization holds 4 active CLIA laboratory certificates and lists Jon Frederick Stachelrodt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851663124
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDAFFODIL PEDIATRICS AND FAMILY MEDICINE
Location Address4905 COURTNEY DRIVEForest Park, GA 30297
Mailing Address4905 Courtney DriveForest Park, GA 30297 · (404) 366-3636 · Fax (404) 362-0808
Phone(404) 366-3636
Fax(404) 362-0808
Organization SubpartNo
Authorized OfficialJon Frederick StachelrodtCeo · (310) 429-8614
Enumeration DateFebruary 2, 2012
Last NPPES UpdateSeptember 16, 2013
✔ NPI 1851663124 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.
4905 COURTNEY DRIVE, Forest Park, GA 30297
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 11D0680713

Daffodil Pediatrics & Family Medicine · Forest Park, GA
Active · expires Apr 19, 2028
CLIA Number11D0680713
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorTaisha K. Okafor
Laboratory Phone(404) 366-3636
Laboratory LocationDaffodil Pediatrics & Family Medicine4905 Courtney Drive, Forest Park, GA 30297
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2075637

Daffodil Pediatrics And Family Medicine · Carrollton, GA
Active · expires Apr 1, 2028
CLIA Number11D2075637
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAbigail Kamishlian
Laboratory Phone(404) 366-3636
Laboratory LocationDaffodil Pediatrics And Family Medicine1561 Hwy 27 South Unit B6 & B7, Carrollton, GA 30117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2246063

Daffodil Pediatrics And Family Medicine, LLC · Decatur, GA
Active · expires Dec 19, 2027
CLIA Number11D2246063
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorAbigail Kamishlian
Laboratory Phone(404) 366-3636
Laboratory LocationDaffodil Pediatrics And Family Medicine, LLC428 Winn Ct, Decatur, GA 30030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2310362

Daffodil Pediatrics And Family Medicine, LLC · Covington, GA
Active · expires Sep 2, 2026
CLIA Number11D2310362
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorAbigal I. Kamishlian
Laboratory Phone(404) 366-3636
Laboratory LocationDaffodil Pediatrics And Family Medicine, LLC7143 Turner Lake Road NW, Covington, GA 30014
CLIA data matches this NPI record on: 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.

NADRIEKA JONES APRN
Nurse Practitioner (Family)
4905 COURTNEY DRIVE
FOREST PARK, GA 30297
Clayton County (404) 366-3636

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 Daffodil Pediatrics And Family Medicine's NPI number?

The NPI number for Daffodil Pediatrics And Family Medicine is 1851663124. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Daffodil Pediatrics And Family Medicine located?

Daffodil Pediatrics And Family Medicine is located at 4905 Courtney Drive, Forest Park, GA 30297. The listed phone number is (404) 366-3636.

What is Daffodil Pediatrics And Family Medicine's specialty?

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

Does Daffodil Pediatrics And Family Medicine hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Daffodil Pediatrics And Family Medicine accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daffodil Pediatrics And Family Medicine 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 Daffodil Pediatrics And Family Medicine was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.