LIGHTHOUSE PEDIATRICS LLC
NPI 1861136483
Pediatrics in Atlanta, GA
NPI Status: Active since April 21, 2022
Contact Information
3610 PIEDMONT RD NE STE 100
ATLANTA, GA
ZIP 30305
Phone: (470) 697-1396
- Organization
- Pediatrics
- CLIA Number: 11D2267272
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-10-2028
About LIGHTHOUSE PEDIATRICS LLC
This page provides the complete NPI Profile along with additional information for Lighthouse Pediatrics Llc, a pediatrician established in Atlanta, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1861136483 assigned on April 2022. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brittany Wilson Md (Owner)
- NPI
- 1861136483
- Provider Name
- LIGHTHOUSE PEDIATRICS LLC
- Entity Type
- Organization
- Location Address
- 3610 PIEDMONT RD NE STE 100 ATLANTA, GA 30305
- Location Phone
- (470) 697-1396
- Mailing Address
- 3610 PIEDMONT RD NE STE 100 ATLANTA, GA 30305
- Mailing Phone
- (470) 697-1396
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2022
- Last Update Date
- 09-09-2022
- Code Navigator
A pediatrician like Lighthouse Pediatrics 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 11D2267272
- Facility Type
- Physician Office
- Certificate Effective Date
- January 11, 2026
- Certificate Expiration Date
- January 10, 2028
- Laboratory Director
- BRITTANY D. WILSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Lighthouse Pediatrics Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861136483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861136483, enumerated as an "organization" on April 21, 2022.
The provider is located at 3610 PIEDMONT RD NE STE 100 ATLANTA, GA 30305 and the phone number is (470) 697-1396.
Pediatrics with taxonomy code 208000000X.
