NPI age
19 years
Enumerated 2006-10-11
● Active Type 2 · Organization
Westcare Villa Rica Pediatrics
Westcare Villa Rica Pediatrics 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
Maxwell
Office Manager
Last NPPES update
2012-05-15
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
626 Dallas Hwy
Villa Rica, GA 301801209
Mailing address
626 Dallas Hwy
Villa Rica, GA 301801209
Authorized official
Amanda Maxwell
Office Manager
📞 7708322005
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Edwidge Azor-Antoine Nurse Practitioner NPI 1740061209
- Jessica Dunn, ARNP Nurse Practitioner NPI 1952653040
- Josephine Ediale, M.D. Pediatrics NPI 1902880842
- Ahtyanna Kendrick, CPNP-PC Nurse Practitioner NPI 1437830775
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 |
|---|---|---|
| 01 (GA) | 203686572A | MEDICAID PAYEE NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Westcare Pediatrics and Adult Medicine
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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