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SOUTH DEKALB PEDIATRICS, P.C.
NPI 1881727493
Pediatrics in Decatur, GA

Active since March 13, 2007CLIA 11D0254594 · Microscopy
2855 CANDLER RD, SUITE 9, DECATUR, GA 30034(404) 243-9630(404) 241-5015 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About South Dekalb Pediatrics, P.c. NPPES

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

SOUTH DEKALB PEDIATRICS, P.C. (NPI 1881727493) is a healthcare organization registered as a pediatrics in Decatur, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 21, 2027 and lists Monica L Grimmett, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1881727493
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH DEKALB PEDIATRICS, P.C.
Location Address2855 CANDLER RD, SUITE 9Decatur, GA 30034-1415
Mailing Address2855 Candler Rd, Suite 9Decatur, GA 30034-1415 · (404) 243-9630 · Fax (404) 241-5015
Phone(404) 243-9630
Fax(404) 241-5015
Organization SubpartNo
Authorized OfficialMonica L GrimmettPractice Administrator · (404) 243-9630
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1881727493 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.
2855 CANDLER RD, Decatur, GA 30034
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0254594

South Dekalb Pediatrics PC · Decatur, GA
Active · expires Feb 21, 2027
CLIA Number11D0254594
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorRunette Flowers
Laboratory Phone(404) 243-9630
Laboratory LocationSouth Dekalb Pediatrics PC2855 Candler Rd NE Suite 9, Decatur, GA 30034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

APRIL HARDIN
Specialist (Prosthetics Case Management)
2855 CANDLER RD
DECATUR, GA 30034
Dekalb County (865) 924-1624
FLAT SHOALS FOOT & ANKLE CENTER, LLC
Podiatrist (Foot Surgery)
2855 CANDLER RD, SUITE 10
DECATUR, GA 30034
Dekalb County (404) 241-7400
FAMILY MEDICAL CENTER URGENT CARE
Family Medicine
2855 CANDLER RD, SUITE 4
DECATUR, GA 30034
Dekalb County (404) 458-4842
WAYNE R MILLER DMD
Dentist (Pediatric Dentistry)
2855 CANDLER RD, SUITE 10
DECATUR, GA 30034
Dekalb County (404) 243-0361
CRAIG BERRY ALBERT WILLIAMS D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2855 CANDLER RD, SUITE 12
DECATUR, GA 30034
Dekalb County (404) 243-3210
FLAT SHOALS FOOT & ANKLE CENTER, LLC
Podiatrist (Foot Surgery)
2855 CANDLER RD, STE 6
DECATUR, GA 30034
Dekalb County (404) 241-7400
ANDERIA SHIRRELL RHODES-BIGHAM N.P.
Nurse Practitioner (Pediatrics)
2855 CANDLER RD, SUITE 9
DECATUR, GA 30034
Dekalb County (404) 243-9630
EDWARD C MACK M.D.
Internal Medicine
2855 CANDLER RD, SUITE 06
DECATUR, GA 30034
Dekalb County (404) 241-0103

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 South Dekalb Pediatrics, P.C.'s NPI number?

The NPI number for South Dekalb Pediatrics, P.C. is 1881727493. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is South Dekalb Pediatrics, P.C. located?

South Dekalb Pediatrics, P.C. is located at 2855 Candler Rd Suite 9, Decatur, GA 30034. The listed phone number is (404) 243-9630.

What is South Dekalb Pediatrics, P.C.'s specialty?

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

Does South Dekalb Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0254594) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Dekalb Pediatrics, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.