OrganizationActive
Woodstock Pediatrics PC
NPI 1104159086 · Pediatrics Physician · Blue Ridge, GA
Provider details
- NPI number
- 1104159086
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Williams, M.D.(706) 632-0330
- License
- 032063 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
460 W Main St
Suite 100
Blue Ridge, GA 30513-7127
Phone: (706) 632-0330
Fax: (706) 632-9004
Street-level locationGet directions
Mailing address
460 W Main St
Blue Ridge, GA 30513-7127
Other names (DBA / former)
- Doing business as
- Main Street Pediatrics
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.