NPI age
17 years
Enumerated 2009-05-18
● Active Type 2 · Organization
Kid Station Pediatrics P.c
Kid Station Pediatrics P.c 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
Rajeev
Owner
Last NPPES update
2012-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
301 Medical Dr, Suite 504
Lagrange, GA 302404144
Mailing address
301 Medical Dr, Suite 504
Lagrange, GA 302404144
Authorized official
Kalyani Angampally Rajeev, M.D
Owner
📞 6784817879
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Torey Harden, M.D. Pediatrics NPI 1275827396
- Kalyani Rajeev, MD Pediatrics NPI 1083613525
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) | 416240451H |
Practice context
Multi-provider organization. 2 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.