P Praxis·MD
● Active Type 2 · Organization

Kids Time Pediatrics - East Cobb Llc

Pediatrics·Madison, GA· NPI 1184935223 · Enumerated 2010 · 15 years on NPI
Kids Time Pediatrics - East Cobb Llc is 1 of 138 pediatrics organizations in Georgia.
NPI age
15 years
Enumerated 2010-06-23
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clyburn
Manager
Last NPPES update
2010-06-23
Source: monthly bulk 2026-05

How this organization compares

Across 138 active pediatrics providers in Georgia.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
696 Billups Ave
Madison, GA 306501439
📞 7063422180
Mailing address
3535 Roswell Rd, Suite 54
Marietta, GA 300628826
📞 4049431979

Authorized official

Flynn Clyburn
Manager
📞 7063422180

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.
    GA license #32201 taxonomy 2080A0000X

Other names on file (1)

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

  • Kids Time Pediatrics
    Type code 3 recorded 2010-06-23

Practice context

Single-site organization. Only one practice location on file.

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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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