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SOUTH DEKALB PEDIATRICS
NPI 1912107079
Pediatrics in Conyers, GA

Active since July 18, 2007
2395 WALL ST SE, SUITE 700, CONYERS, GA 30013(404) 243-9630 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Dekalb Pediatrics NPPES

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

SOUTH DEKALB PEDIATRICS (NPI 1912107079) is a healthcare organization registered as a pediatrics in Conyers, Georgia and active in the NPI registry since July 2007. The organization lists Joron R. Murry, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1912107079
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH DEKALB PEDIATRICS
Location Address2395 WALL ST SE, SUITE 700Conyers, GA 30013-6703
Mailing Address2395 Wall St Se, Suite 700Conyers, GA 30013-6703
Phone(404) 243-9630
Organization SubpartNo
Authorized OfficialJoron R. MurryPractice Administrator · (404) 243-9630
Enumeration DateJuly 18, 2007
✔ NPI 1912107079 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.
2395 WALL ST SE, Conyers, GA 30013
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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

Other Providers at the Same Location NPPES 4

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

MS. LATERRIAN MARIE ROBINSON M.S., CCC-SLP
Speech-Language Pathologist
2395 WALL ST SE, STE 170
CONYERS, GA 30013
Rockdale County (205) 602-2337
MRS. NONDI C CHAPPELL M. ED CCC-SLP
Speech-Language Pathologist
2395 WALL ST SE, SUITE 190
CONYERS, GA 30013
Rockdale County (404) 202-8490
ERICA R WILSON MEDCCCSLP
Speech-Language Pathologist
2395 WALL ST SE, SUITE 190
CONYERS, GA 30013
Rockdale County (404) 202-8490
SHARON WHEELOCK LUDLOW
Speech-Language Pathologist
2395 WALL ST SE, SUITE 170
CONYERS, GA 30013
Rockdale County (678) 462-3637

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's NPI number?

The NPI number for South Dekalb Pediatrics is 1912107079. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is South Dekalb Pediatrics located?

South Dekalb Pediatrics is located at 2395 Wall St SE Suite 700, Conyers, GA 30013. The listed phone number is (404) 243-9630.

What is South Dekalb Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for South Dekalb Pediatrics was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.