P Praxis·MD
● Active Type 1 · Individual

Stephen John Klacik, MD

Pediatrics·Gainesville, GA· NPI 1922088293 · Enumerated 2006 · 20 years on NPI
Klacik is 1 of 44 pediatrics providers in Gainesville and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-01-20
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-17
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
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 7705353611fax 7705357092
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
1270 Friendship Rd
Braselton, GA 305175630
📞 6782074200fax 7705334771
Location 3
155 Professional Dr
Baldwin, GA 305114000
📞 7067762368fax 7067762589
Location 4
4019 Executive Drive
Oakwood, GA 305663433
📞 7705336500fax 7705336543
Location 5
743 Spring St Ne
Gainesville, GA 305013715
📞 7705353611fax 7705357092
Location 6
1400 River Pl
Braselton, GA 305175600
📞 7705353611fax 7705357092
Location 7
4095 S Lee St
Buford, GA 305183647
📞 7709328519fax 7705334798

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 #054230 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (GA) 302580 WELLCARE
01 (GA) 10032998 AMERIGROUP
01 (GA) 302568 WELLCARE
01 (GA) 302579 WELLCARE
01 (GA) 5779768 AETNA PPO
05 (GA) 845371853D
01 (GA) 3548885 CIGNA
01 (GA) 52703273 BCBS
05 (GA) 845371853B
01 (GA) 3532508 AETNA HMO
05 (GA) 845371853A
01 (GA) 1908730 UHC
05 (GA) 845371853C
01 (GA) 302581 WELLCARE
05 (GA) 845371853F

Practice context

Part of a multi-provider practice. 151 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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