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KIDS DOC PEDIATRICS
NPI 1932374618
Clinic/Center - Primary Care in Lilburn, GA

Active since April 24, 2008CLIA 11D1000581 · Waiver
3100 FIVE FORKS TRICKUM RD SW STE 204, LILBURN, GA 30047(770) 978-7701(770) 978-7822 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kids Doc Pediatrics NPPES

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

KIDS DOC PEDIATRICS (NPI 1932374618) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Akber H Hashim, President, as its authorized official.

NPPES Registry Identity

NPI1932374618
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKIDS DOC PEDIATRICS
Location Address3100 FIVE FORKS TRICKUM RD SW STE 204Lilburn, GA 30047-1887
Mailing Address3100 Five Forks Trickum Rd Sw Ste 204Lilburn, GA 30047-1887 · (770) 978-7701 · Fax (770) 978-7822
Phone(770) 978-7701
Fax(770) 978-7822
Organization SubpartNo
Authorized OfficialAkber H HashimPresident · (770) 978-7701
Enumeration DateApril 24, 2008
✔ NPI 1932374618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 043638
3100 FIVE FORKS TRICKUM RD SW STE 204, Lilburn, GA 30047
Open in Google Maps ↗

Other Identifiers 1

Medicaid000809817NGA

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 11D1000581

Kids Doc Pediatrics · Lilburn, GA
Active · expires Jun 17, 2028
CLIA Number11D1000581
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorAkber H. Hashim
Laboratory Phone(770) 978-7701
Laboratory LocationKids Doc Pediatrics3100 Five Forest Trickum Rd, Number 204, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
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 Kids Doc Pediatrics's NPI number?

The NPI number for Kids Doc Pediatrics is 1932374618. It was assigned to this organization in the NPPES registry on April 24, 2008.

Where is Kids Doc Pediatrics located?

Kids Doc Pediatrics is located at 3100 Five Forks Trickum Rd SW Ste 204, Lilburn, GA 30047. The listed phone number is (770) 978-7701.

What is Kids Doc Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kids Doc Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1000581) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kids Doc Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kids Doc 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 Kids Doc Pediatrics was last updated on April 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.