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

LIGHTHOUSE PEDIATRICS LLC
NPI 1861136483
Pediatrics in Atlanta, GA

Active since April 21, 2022CLIA 11D2267272 · Certificate of Compliance
3610 PIEDMONT RD NE STE 100, ATLANTA, GA 30305(470) 697-1396 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2022, Apr 21, 2022 (2 updates tracked since 2022).

About Lighthouse Pediatrics Llc NPPES

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

LIGHTHOUSE PEDIATRICS LLC (NPI 1861136483) is a healthcare organization registered as a pediatrics in Atlanta, Georgia and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through January 10, 2028 and lists Brittany Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861136483
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIGHTHOUSE PEDIATRICS LLC
Location Address3610 PIEDMONT RD NE STE 100Atlanta, GA 30305-1406
Mailing Address3610 Piedmont Rd Ne Ste 100Atlanta, GA 30305-1406 · (470) 697-1396
Phone(470) 697-1396
Organization SubpartNo
Authorized OfficialBrittany WilsonOwner · (470) 697-1396
Enumeration DateApril 21, 2022
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1861136483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3610 PIEDMONT RD NE STE 100, Atlanta, GA 30305
Open in Google Maps ↗

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 Compliance 11D2267272

Lighthouse Pediatrics · Atlanta, GA
Active · expires Jan 10, 2028
CLIA Number11D2267272
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorBrittany D. Wilson
Laboratory Phone(470) 697-1396
Laboratory LocationLighthouse Pediatrics3610 Piedmont Road, NE, Ste 100, Atlanta, GA 30305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

BRITTANY WILSON M.D.
Pediatrics
3610 PIEDMONT RD NE STE 100
ATLANTA, GA 30305
Fulton County (770) 490-8559

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 Lighthouse Pediatrics LLC's NPI number?

The NPI number for Lighthouse Pediatrics LLC is 1861136483. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Lighthouse Pediatrics LLC located?

Lighthouse Pediatrics LLC is located at 3610 Piedmont Rd NE Ste 100, Atlanta, GA 30305. The listed phone number is (470) 697-1396.

What is Lighthouse Pediatrics LLC's specialty?

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

Does Lighthouse Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2267272) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lighthouse Pediatrics LLC was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.