P Praxis·MD
● Active Type 2 · Organization

Our Village Pediatrics, Llc

Pediatrics·Canton, GA· NPI 1255952347 · Enumerated 2020 · 6 years on NPI
Our Village Pediatrics, Llc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
6 years
Enumerated 2020-04-30
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Glaeser
Office Manager
Last NPPES update
2020-04-30
Source: monthly bulk 2026-05

How this organization compares

Across 2726 active pediatrics providers in Georgia.

NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
115 Academy St
Canton, GA 301142860
📞 4703894970
Mailing address
115 Academy St
Canton, GA 301142860
📞 4703894970

Authorized official

Justin Glaeser
Office Manager
📞 4703894970

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...
    taxonomy 208000000X

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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