NPI age
14 years
Enumerated 2011-12-19
● Active Type 2 · Organization
Lakeside Pediatrics, Llc
Lakeside Pediatrics, 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
Bagheri
President
Last NPPES update
2011-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
204 Canton Rd
Cumming, GA 300402304
Mailing address
11565 Mountain Laurel Dr
Roswell, GA 300751333
Authorized official
Bob B Bagheri, M.D.
President
📞 7708865437
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Bob Bagheri, M.D. Pediatrics NPI 1326017906
- Shayan Bagheri, PA-C Physician Assistant NPI 1205678554
- Karem Menezes, M.D. Pediatrics NPI 1548535800
- Denise Vaz, C-PNP Nurse Practitioner NPI 1225222524
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...
Practice context
Multi-provider organization. 4 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 →
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