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

NPI Status: Active since March 13, 2007

Contact Information

2855 CANDLER RD
SUITE 9
DECATUR, GA
ZIP 30034
Phone: (404) 243-9630
Fax: (404) 241-5015

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  • Organization
  • Pediatrics
  • CLIA Number: 11D0254594
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-21-2027

About SOUTH DEKALB PEDIATRICS, P.C.

This page provides the complete NPI Profile along with additional information for South Dekalb Pediatrics, P.c., a pediatrician established in Decatur, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1881727493 assigned on March 2007. 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 organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Monica L Grimmett (Practice Administrator)

NPI
1881727493
Provider Name
SOUTH DEKALB PEDIATRICS, P.C.
Entity Type
Organization
Location Address
2855 CANDLER RD SUITE 9 DECATUR, GA 30034
Location Phone
(404) 243-9630
Location Fax
(404) 241-5015
Mailing Address
2855 CANDLER RD SUITE 9 DECATUR, GA 30034
Mailing Phone
(404) 243-9630
Mailing Fax
(404) 241-5015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
07-21-2022
Code Navigator

A pediatrician like South Dekalb Pediatrics, P.c. 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
License State
GA
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MONICA L GRIMMETT

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(404) 243-9630

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
11D0254594
Facility Type
Physician Office
Certificate Effective Date
February 22, 2025
Certificate Expiration Date
February 21, 2027
Laboratory Director
RUNETTE FLOWERS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to South Dekalb Pediatrics, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1881727493, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 4 + 2 + 1 + 4 + 4 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1881727493.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2855 CANDLER RD, SUITE 10
DECATUR, GA 30034
Pediatrics
2855 CANDLER RD, SUITE 9
DECATUR, GA 30034
Dentist (Orthodontics and Dentofacial Orthopedics)
2855 CANDLER RD, SUITE 12
DECATUR, GA 30034
Chiropractor
2855 CANDLER RD, SUITE 5
DECATUR, GA 30034
Podiatrist (Foot Surgery)
2855 CANDLER RD, STE 6
DECATUR, GA 30034
Speech-Language Pathologist
2855 CANDLER RD, SUITE 14
DECATUR, GA 30034
Pediatrics
2855 CANDLER RD, STE 4
DECATUR, GA 30034
Counselor (Professional)
2855 CANDLER RD, SUITE 9
DECATUR, GA 30034
Podiatrist (Foot Surgery)
2855 CANDLER RD, SUITE 10
DECATUR, GA 30034
Internal Medicine
2855 CANDLER RD, SUITE 06
DECATUR, GA 30034
Family Medicine
2855 CANDLER RD, SUITE 4
DECATUR, GA 30034
Nurse Practitioner (Pediatrics)
2855 CANDLER RD, SUITE 9
DECATUR, GA 30034
Specialist (Prosthetics Case Management)
2855 CANDLER RD
DECATUR, GA 30034
Durable Medical Equipment & Medical Supplies
2855 CANDLER RD
DECATUR, GA 30034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881727493, enumerated as an "organization" on March 13, 2007.

The provider is located at 2855 CANDLER RD SUITE 9 DECATUR, GA 30034 and the phone number is (404) 243-9630.

Pediatrics with taxonomy code 208000000X.