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ABC PEDIATRICS
NPI 1902923964
Pediatrics in Fayetteville, GA

Active since March 23, 2007
735 GLYNN ST S, FAYETTEVILLE, GA 30214(770) 461-4126(770) 461-8852 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abc Pediatrics NPPES

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

ABC PEDIATRICS (NPI 1902923964) is a healthcare organization registered as a pediatrics in Fayetteville, Georgia and active in the NPI registry since March 2007. The organization lists Leslie Deanne Smoak, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1902923964
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameABC PEDIATRICS
Location Address735 GLYNN ST SFayetteville, GA 30214-2049
Mailing Address735 Glynn St SFayetteville, GA 30214-2049 · (770) 461-4126 · Fax (770) 461-8852
Phone(770) 461-4126
Fax(770) 461-8852
Organization SubpartNo
Authorized OfficialLeslie Deanne SmoakPhysician Owner · (770) 461-4126
Enumeration DateMarch 23, 2007
Last NPPES UpdateFebruary 28, 2024
✔ NPI 1902923964 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.
735 GLYNN ST S, Fayetteville, GA 30214
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D0937556

Abc Pediatrics PC · Fayetteville, GA
Expired · Jul 31, 2026
CLIA Number11D0937556
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorJamie F. Wallace
Laboratory Phone(770) 461-4126
Laboratory LocationAbc Pediatrics PC735 Glynn Street, South, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JAMIE F WALLACE
Pediatrics
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126
ERIC W HOFFLER MD
Pediatrics
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126
CLARA RUIZ STOGNER CPNP-PC
Nurse Practitioner (Pediatrics)
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126

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 Abc Pediatrics's NPI number?

The NPI number for Abc Pediatrics is 1902923964. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Abc Pediatrics located?

Abc Pediatrics is located at 735 Glynn St S, Fayetteville, GA 30214. The listed phone number is (770) 461-4126.

What is Abc Pediatrics's specialty?

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

What insurance does Abc Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Abc Pediatrics 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 Abc Pediatrics was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.