P Praxis·MD
● Active Type 1 · Individual

DR. Beatrice Clodomir, D.O.

Pediatrics·Stone Mountain, GA· NPI 1760640924 · Enumerated 2008 · 18 years on NPI
Clodomir is 1 of 12 pediatrics providers in Stone Mountain and 1 of 2726 in Georgia.
NPI age
18 years
Enumerated 2008-05-23
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
5582 Memorial Dr
Stone Mountain, GA 300833215
📞 4042988998fax 4042987658
Mailing address
5582 Memorial Dr
Stone Mountain, GA 300833215
📞 4042988998fax 4042987658

Specialties

  • Pediatrics Primary
    A 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...
    GA license #65531 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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