OrganizationActive
Kids Time Pediatrics, LLC
NPI 1164628681 · Clinical Medical Laboratory · Madison, GA
Provider details
- NPI number
- 1164628681
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Flynn Clyburn, President(706) 342-2180
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 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
696 Billups Ave
Madison, GA 30650-1439
Phone: (706) 342-2180
Street-level locationGet directions
Mailing address
696 Billups Ave
Madison, GA 30650-1439
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.