OrganizationActive
Kids Time Pediatrics - Alpharetta, LLC
NPI 1205157054 · Pediatric Adolescent Medicine Physician · Madison, GA
Provider details
- NPI number
- 1205157054
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Flynn Clyburn, Manager(706) 342-2180
- License
- 32201 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 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
696 Billups Ave
Madison, GA 30650-1439
Phone: (706) 342-2180
Street-level locationGet directions
Mailing address
4000 N Point Pkwy
Alpharetta, GA 30022-8801
Other names (DBA / former)
- Other name
- Kids Time Pediatrics
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.