Kids Avenue Pediatrics LLC
NPI 1801057609ActiveOrganization· Pediatrics· College Park, GA
Pediatrics in College Park, Georgia, registered in NPPES in June 2008. The authorized official on file is Phyllis Stembridge, Practice Manager.
Overview
| NPI | 1801057609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2008 |
| Last updated in NPPES | Jun 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 027036 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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