NPI age
9 years
Enumerated 2017-02-06
● Active Type 2 · Organization
Graham Pediatrics Of Woodstock Llc
Graham Pediatrics Of Woodstock Llc 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
Graham
Owner
Last NPPES update
2017-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
105 Mirramont Lake Dr
Woodstock, GA 301898214
Mailing address
105 Mirramont Lake Dr
Woodstock, GA 301898214
Authorized official
Fitzroy Henry Graham, M.D
Owner
📞 7704859670
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Ariana Beckett, NP Nurse Practitioner NPI 1861383143
- Molly Bradshaw, RN Registered Nurse NPI 1144805409
- Kelly Rosario, APRN Nurse Practitioner NPI 1811853401
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) | 000919663B |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.