KIDS AVENUE PEDIATRICS LLC NPI 1326388752

NPI Information

  • NPI: 1326388752
  • Provider Name: KIDS AVENUE PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1720 PHOENIX BLVD
    COLLEGE PARK, GA
    ZIP 30349
  • Phone: (770) 909-8007

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NPI Details

KIDS AVENUE PEDIATRICS LLC is a pediatrics in College Park, GA. The provider is 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. KIDS AVENUE PEDIATRICS LLC NPI is 1326388752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1720 PHOENIX BLVD
COLLEGE PARK, GA
ZIP 30349-594
Phone: (770) 909-8007
Fax: (770) 909-8005

The provider's authorized official is Gertrude Brown Arrington .
The authorized official title is Medical Doctor and has the following contact phone number (770) 909-8007.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics027036GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F170016MEDICARE UPINGEORGIA
2000298053EMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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