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STEPHEN JOHN KLACIK MD
NPI 1922088293
Pediatrics in Gainesville, GA

Active since January 20, 2006
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Jul 8, 2021, Dec 1, 2020 and 1 more (4 updates tracked since 2019).

About Stephen John Klacik Md NPPES

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

STEPHEN JOHN KLACIK MD (NPI 1922088293) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (054230) and active in the NPI registry since January 2006. He maintains 6 additional practice locations.

NPPES Registry Identity

NPI1922088293
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEPHEN JOHN KLACIKCredential: MD
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Phone(770) 535-3611
Fax(770) 535-7092
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 17, 20234 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1922088293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 054230
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.
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Secondary Practice Locations 6

Location 11270 Friendship RdBraselton, GA 30517-5630 · Phone (678) 207-4200 · Fax (770) 533-4771
Location 2155 Professional DrBaldwin, GA 30511-4000 · Phone (706) 776-2368 · Fax (706) 776-2589
Location 34019 Executive DriveOakwood, GA 30566-3433 · Phone (770) 533-6500 · Fax (770) 533-6543
Location 4743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 535-3611 · Fax (770) 535-7092
Location 51400 River PlBraselton, GA 30517-5600 · Phone (770) 535-3611 · Fax (770) 535-7092
Location 64095 S Lee StBuford, GA 30518-3647 · Phone (770) 932-8519 · Fax (770) 533-4798

Other Identifiers 15

Other302580GA · Wellcare
Other10032998GA · Amerigroup
Other302568GA · Wellcare
Other302579GA · Wellcare
Other5779768GA · Aetna Ppo
Medicaid845371853DGA
Other3548885GA · Cigna
Other52703273GA · Bcbs
Medicaid845371853BGA
Other3532508GA · Aetna Hmo
Medicaid845371853AGA
Other1908730GA · Uhc
Medicaid845371853CGA
Other302581GA · Wellcare
Medicaid845371853FGA

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC
Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Hall County (770) 535-0079
EILEEN JAVELLANA MD
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4373
MRS. BRANDI NICHELLE MONROE PA
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MRS. JEANETTE SUSAN PIRKLE APRN, NP-C
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 297-5700
COURTNEY L GRANT M.D.
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MARY HANNAH READ MD
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-6523
WESLEY AARON ZILA PA-C
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
NANCY ELLEN JOHNSON MD
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 535-3611

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 Stephen Klacik's NPI number?

The NPI number for Stephen Klacik is 1922088293. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Stephen Klacik located?

Stephen Klacik practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 535-3611.

What is Stephen Klacik'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 Stephen Klacik was last updated on August 17, 2023. 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.