MINDFUL PEDIATRICS LLC
NPI 1891485462
Pediatrics in Johns Creek, GA

Active since May 08, 2023CLIA 11D2284603 · Waiver
11705 JONES BRIDGE RD STE A201, JOHNS CREEK, GA 30005(678) 972-1952(678) 737-1858 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mindful Pediatrics Llc NPPES

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

MINDFUL PEDIATRICS LLC (NPI 1891485462) is a healthcare organization registered as a pediatrics in Johns Creek, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Priya Susan Thomas, Physician, as its authorized official.

NPPES Registry Identity

NPI1891485462
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMINDFUL PEDIATRICS LLC
Location Address11705 JONES BRIDGE RD STE A201Johns Creek, GA 30005-5080
Mailing Address11705 Jones Bridge Rd Ste A201Johns Creek, GA 30005-5080 · (678) 972-1952
Fax(678) 737-1858
Organization SubpartNo
Authorized OfficialPriya Susan ThomasPhysician · (516) 305-9378
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
NPI 1891485462 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.
11705 JONES BRIDGE RD STE A201, Johns Creek, GA 30005

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

Accepted Insurance

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 Waiver 11D2284603

Mindful Pediatrics & Adolescent Medicine · Johns Creek, GA
Active · expires Jun 26, 2027
CLIA Number11D2284603
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorPriya S. Thomas
Laboratory Phone(770) 746-7113
Laboratory LocationMindful Pediatrics & Adolescent Medicine11705 Jones Bridge Road, Suite A201, Johns Creek, GA 30005
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mindful Pediatrics LLC's NPI number?

The NPI number for Mindful Pediatrics LLC is 1891485462. It was assigned to this organization in the NPPES registry on May 8, 2023.

Where is Mindful Pediatrics LLC located?

Mindful Pediatrics LLC is located at 11705 Jones Bridge Rd Ste A201, Johns Creek, GA 30005. The listed phone number is (678) 972-1952.

What is Mindful Pediatrics LLC's specialty?

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

Does Mindful Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2284603) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mindful Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mindful Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindful Pediatrics LLC was last updated on May 8, 2023. 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.