Courtney Widjaja, M.D.
NPI 1356904379 · Pediatrics Physician · Lawrenceville, GA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtney Widjaja, M.D. is a Pediatrics Physician provider in Lawrenceville, GA (NPI 1356904379).
Provider details
- NPI number
- 1356904379
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 10825 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$77 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Frequently asked questions
- What is Courtney Widjaja's NPI number?
- Courtney Widjaja's National Provider Identifier (NPI) is 1356904379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtney Widjaja's specialty?
- Courtney Widjaja is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Courtney Widjaja located?
- Courtney Widjaja's practice location on file with NPPES is 595 Hurricane Shoals Road Nw, Lawrenceville, GA 30046.
- What is Courtney Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Courtney Widjaja is (770) 995-0823.
- Does Courtney Widjaja accept Medicare?
- Courtney Widjaja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtney Widjaja's NPI active?
- Yes — Courtney Widjaja's NPI (1356904379) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.