NPI age
17 years
Enumerated 2009-01-13
● Active Type 2 · Organization
Shivashanker Pc
Shivashanker Pc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Flournoy
Administrator
Last NPPES update
2009-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
7695 Highpoint Dr
Jonesboro, GA 30236
Mailing address
406 Forest Pkwy, Ste A
Forest Park, GA 302972190
Authorized official
Valencia W Flournoy
Administrator
📞 4045792188
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000477287K |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PARKWAY MEDICAL CLINIC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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