OrganizationActive
Pediatric Cardiology Services, LLC
NPI 1013177310 · Pediatric Cardiology Physician · Lawrenceville, GA
Provider details
- NPI number
- 1013177310
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Woody, Practice Administrator(770) 995-6684
- License
- 043298 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
500 Medical Center Blvd
Suite 340
Lawrenceville, GA 30045-8708
Phone: (770) 995-6684
Fax: (770) 995-7631
Street-level locationGet directions
Mailing address
500 Medical Center Blvd
Lawrenceville, GA 30045-8708
Registry dates
- Enumerated
- 2008-06-11
- Last updated
- 2008-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.