P Praxis·MD
● Active Type 2 · Organization

Pediatric Associates, Pc

Pediatrics·Marietta, GA· NPI 1790994317 · Enumerated 2007 · 19 years on NPI
Pediatric Associates, Pc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-21
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Licata
President
Last NPPES update
2020-08-22
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
3000 Johnson Ferry Rd, Suite 204
Marietta, GA 300625683
📞 7709932922fax 7709937325
Mailing address
3000 Johnson Ferry Rd, Suite 204
Marietta, GA 300625683
📞 7709932922fax 7709937325

Authorized official

Robert M. Licata, MD
President
📞 7709932922

Individual providers at this organization

4 individual providers on file at this primary practice address.

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 #025457 taxonomy 208000000X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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