OrganizationActive
Life Cycle Pediatrics, LLC
NPI 1003584327 · Pediatrics Physician · Riverdale, GA
Provider details
- NPI number
- 1003584327
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gwendolyn Williams, Office Manager(404) 228-0601
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Medical Way Ste B
Riverdale, GA 30274-2533
Phone: (770) 692-2800
Fax: (770) 692-2804
Street-level locationGet directions
Mailing address
2739 Felton Dr
East Point, GA 30344-3603
Registry dates
- Enumerated
- 2021-09-01
- Last updated
- 2021-09-01
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.