P Praxis·MD
● Active Type 2 · Organization

Kids Avenue Pediatrics Llc

Pediatrics·College Park, GA· NPI 1801057609 · Enumerated 2008 · 17 years on NPI
Kids Avenue Pediatrics Llc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
17 years
Enumerated 2008-06-24
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stembridge
Practice Manager
Last NPPES update
2008-06-24
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 · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
1720 Phoenix Blvd, Suite900
College Park, GA 303495594
📞 7709098007fax 7709098005
Mailing address
1720 Phoenix Blvd, Suite900
College Park, GA 303495594
📞 7709098007fax 7709098005

Authorized official

Phyllis Stembridge
Practice Manager
📞 7709098007

Individual providers at this organization

8 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 #027036 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 497361413A

Practice context

Multi-provider organization. 8 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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