P Praxis·MD
● Active Type 2 · Organization

Woodstock Pediatrics Pc

Pediatrics·Blue Ridge, GA· NPI 1104159086 · Enumerated 2009 · 16 years on NPI
Woodstock Pediatrics Pc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
16 years
Enumerated 2009-09-10
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
M.D.
Last NPPES update
2011-01-31
Source: monthly bulk 2026-05

How this organization compares

Across 2726 active pediatrics providers in Georgia.

NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
460 W Main St, Suite 100
Blue Ridge, GA 305137127
📞 7066320330fax 7066329004
Mailing address
460 W Main St, Suite 100
Blue Ridge, GA 305137127
📞 7066320330fax 7066329004

Authorized official

Kimberly T Williams, M.D.
M.D.
📞 7066320330

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    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...
    GA license #032063 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 000448269F

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Main Street Pediatrics
    Type code 3 recorded 2009-09-10

Practice context

Multi-provider organization. 3 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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