SPIRIT OF KEY WEST LLC
NPI 1881138279
Clinic/Center - Primary Care in Buford, GA

Q: What is Spirit Of Key West LLC's NPI number?

The NPI number for Spirit Of Key West LLC is 1881138279. It was assigned to this organization in the NPPES registry on December 5, 2016. The provider is doing business as Lake Lanier Pediatrics and Suwanahoochee Pediatrics.

Q: What is Spirit Of Key West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since December 05, 2016

5629 HOLIDAY RD, BUFORD, GA 30518(678) 765-8622(678) 765-8621 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spirit Of Key West Llc NPPES

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

SPIRIT OF KEY WEST LLC (NPI 1881138279), doing business as Lake Lanier Pediatrics, is a healthcare organization registered as a primary care in Buford, Georgia and active in the NPI registry since December 2016. The organization maintains a secondary practice location in Sugar Hill and lists Jana Renee Himmelbaum, Owner, as its authorized official.

NPPES Registry Identity

NPI1881138279

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSPIRIT OF KEY WEST LLC

Location Address5629 HOLIDAY RDBuford, GA 30518-1519

Mailing Address5629 Holiday RdBuford, GA 30518-1519 · (678) 765-8622 · Fax (678) 765-8621

Phone(678) 765-8622

Fax(678) 765-8621

Organization SubpartNo

Authorized OfficialJana Renee HimmelbaumOwner · (678) 765-8622

Enumeration DateDecember 5, 2016

Last NPPES UpdateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1881138279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in GA · 75152

5629 HOLIDAY RD, Buford, GA 30518

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Other Names 2

Doing Business AsLake Lanier Pediatrics

Doing Business AsSuwanahoochee Pediatrics

Secondary Practice Location 1

Location 1110 Peachtree Industrial Blvd Ste ASugar Hill, GA 30518-6288 · Phone (678) 765-8622 · Fax (678) 765-8621

Other Providers at the Same Location NPPES

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

JANA RENEE HIMMELBAUM D.O.

Pediatrics

5629 HOLIDAY RD
BUFORD, GA 30518

Gwinnett County (678) 765-8622

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 Spirit Of Key West LLC's NPI number?

The NPI number for Spirit Of Key West LLC is 1881138279. It was assigned to this organization in the NPPES registry on December 5, 2016. The provider is doing business as Lake Lanier Pediatrics and Suwanahoochee Pediatrics.

Where is Spirit Of Key West LLC located?

Spirit Of Key West LLC is located at 5629 Holiday Rd, Buford, GA 30518. The listed phone number is (678) 765-8622.

What is Spirit Of Key West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Spirit Of Key West LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.