NPI age
10 years
Enumerated 2016-04-06
● Active Type 2 · Organization
The Pediatric Center Of Stone Mountain
The Pediatric Center Of Stone Mountain 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
Chadwick
Medical Home Special Projects
Last NPPES update
2016-04-06
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
Mailing address
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
Authorized official
Alicia Chadwick
Medical Home Special Projects
📞 6787632615
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Laura Hudson-Yedvobnick, PA Physician Assistant NPI 1861526030
- Justin Kitchens, NP-C Nurse Practitioner NPI 1073050449
- Lucinda Sellers, CPNP Nurse Practitioner NPI 1427350719
- Laura Wilson, MSN, APRN-BC Nurse Practitioner NPI 1104032218
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) | 300021562A |
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 →
- 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.