OrganizationActive
Peach State Pediatrics
NPI 1215280177 · Pediatrics Physician · Smyrna, GA
Peach State Pediatrics is a Pediatrics Physician organization in Smyrna, GA (NPI 1215280177).
Provider details
- NPI number
- 1215280177
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammed Waris, Owner(850) 270-9249
- License
- 62300 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3001 S Cobb Dr Se
Suite 107
Smyrna, GA 30080-7874
Phone: (850) 875-3600
Street-level locationGet directions
Mailing address
3001 S Cobb Dr Se
Smyrna, GA 30080-7874
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Frequently asked questions
- What is Peach State Pediatrics's NPI number?
- Peach State Pediatrics's National Provider Identifier (NPI) is 1215280177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach State Pediatrics?
- Peach State Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Peach State Pediatrics located?
- Peach State Pediatrics's practice location on file with NPPES is 3001 S Cobb Dr Se, Smyrna, GA 30080-7874.
- What is Peach State Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Peach State Pediatrics is (850) 875-3600.
- Who is the authorized official for Peach State Pediatrics?
- The authorized official listed on Peach State Pediatrics's NPPES record is Mohammed Waris, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach State Pediatrics's NPI active?
- Yes — Peach State Pediatrics's NPI (1215280177) is active in the NPPES registry as of the last update on 2012-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.