P Praxis·MD
● Active Type 2 · Organization

Loganville Pediatrics & Adolescent Care Associates

Pediatrics·Loganville, GA· NPI 1053325027 · Enumerated 2006 · 19 years on NPI
Loganville Pediatrics & Adolescent Care Associates is 1 of 138 pediatrics organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-28
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tullis
Office Manager
Last NPPES update
2024-04-22
Source: monthly bulk 2026-05

How this organization compares

Across 138 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
3815 Harrison Rd
Loganville, GA 300522462
📞 7704666112fax 7704666201
Mailing address
3815 Harrison Rd
Loganville, GA 300522462
📞 7704666112fax 7704666201

Authorized official

Ann Tullis
Office Manager
📞 7704666112

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    taxonomy 2080A0000X

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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