NPI age
19 years
Enumerated 2007-05-16
● Active Type 2 · Organization
Northlake Pediatric Associates,pc
Northlake Pediatric Associates,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
Taliaferro
Office Manager
Last NPPES update
2014-01-08
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 · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1805 Parke Plaza Cir, Suite 103
Stone Mountain, GA 300873498
Mailing address
1805 Parke Plaza Cir, Suite 103
Stone Mountain, GA 300873498
Authorized official
Delores Taliaferro
Office Manager
📞 7704989355
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Catherine Alexander, MD Family Medicine NPI 1104810423
- Carla Cooke, PA-C Physician Assistant NPI 1205175262
- Martha Crenshaw, MD Family Medicine NPI 1255325536
- Kanani Floyd, PA-C Physician Assistant NPI 1154624013
- Raymond Rosenberg, MD Pediatrics NPI 1437195492
- Stanley Tenenbaum, MD Pediatrics NPI 1316998255
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) | 85000926G |
Practice context
Multi-provider organization. 6 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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