OrganizationActive
Walton Children'S Clinic
NPI 1396145058 · Pediatrics Physician · Loganville, GA
Walton Children'S Clinic is a Pediatrics Physician organization in Loganville, GA (NPI 1396145058).
Provider details
- NPI number
- 1396145058
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ebba Ebba, President(770) 207-5437
- License
- 036724 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
98 Tara Commons Dr
Suite 400
Loganville, GA 30052-8031
Phone: (770) 207-5437
Fax: (770) 207-7263
Street-level locationGet directions
Mailing address
98 Tara Commons Dr
Loganville, GA 30052-8031
Registry dates
- Enumerated
- 2014-09-01
- Last updated
- 2015-09-23
Frequently asked questions
- What is Walton Children'S Clinic's NPI number?
- Walton Children'S Clinic's National Provider Identifier (NPI) is 1396145058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walton Children'S Clinic?
- Walton Children'S Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Walton Children'S Clinic located?
- Walton Children'S Clinic's practice location on file with NPPES is 98 Tara Commons Dr, Loganville, GA 30052-8031.
- What is Walton Children'S Clinic's phone number?
- The practice phone number listed in the NPPES registry for Walton Children'S Clinic is (770) 207-5437.
- Who is the authorized official for Walton Children'S Clinic?
- The authorized official listed on Walton Children'S Clinic's NPPES record is Ebba Ebba, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walton Children'S Clinic's NPI active?
- Yes — Walton Children'S Clinic's NPI (1396145058) is active in the NPPES registry as of the last update on 2015-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.