OrganizationActive
Our Village Pediatrics, LLC
NPI 1255952347 · Pediatrics Physician · Canton, GA
Our Village Pediatrics, LLC is a Pediatrics Physician organization in Canton, GA (NPI 1255952347).
Provider details
- NPI number
- 1255952347
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Glaeser, Office Manager(470) 389-4970
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
115 Academy St
Canton, GA 30114-2860
Phone: (470) 389-4970
Street-level locationGet directions
Mailing address
115 Academy St
Canton, GA 30114-2860
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Frequently asked questions
- What is Our Village Pediatrics, LLC's NPI number?
- Our Village Pediatrics, LLC's National Provider Identifier (NPI) is 1255952347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Our Village Pediatrics, LLC?
- Our Village Pediatrics, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Our Village Pediatrics, LLC located?
- Our Village Pediatrics, LLC's practice location on file with NPPES is 115 Academy St, Canton, GA 30114-2860.
- What is Our Village Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Our Village Pediatrics, LLC is (470) 389-4970.
- Who is the authorized official for Our Village Pediatrics, LLC?
- The authorized official listed on Our Village Pediatrics, LLC's NPPES record is Justin Glaeser, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Our Village Pediatrics, LLC's NPI active?
- Yes — Our Village Pediatrics, LLC's NPI (1255952347) is active in the NPPES registry as of the last update on 2020-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.