NPI age
18 years
Enumerated 2007-10-16
● Active Type 2 · Organization
Kaleidoscope Pediatrics Pc
Kaleidoscope Pediatrics Pc is 1 of 138 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Staviss
President
Last NPPES update
2007-10-16
Source: monthly bulk 2026-05
How this organization compares
Across 138 active pediatrics providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1523 Johnson Ferry Rd, Suite 150
Marietta, GA 300626438
Mailing address
1523 Johnson Ferry Rd, Suite 150
Marietta, GA 300626438
Authorized official
Susan Gail Staviss, MD
President
📞 7705091234
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Whitney Denton, M.D. Family Medicine NPI 1235128455
Specialties
-
Pediatrics PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52478249004 | BLUE CROSS BLUE SHIELD |
Practice context
Multi-provider organization. 1 individual provider 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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