Northside Children'S Pediatric Center, LLC
NPI 1396945515 · Pediatrics Physician · Canton, GA
Northside Children'S Pediatric Center, LLC is a Pediatrics Physician organization in Canton, GA (NPI 1396945515).
Provider details
- NPI number
- 1396945515
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Anderson, Rn-Pnp, Member, and (spouse of MD)(770) 720-6963
- License
- GA PHYSICIAN 54532 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Northside Children'S Pediatrics Center, PC
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2012-01-24
Frequently asked questions
- What is Northside Children'S Pediatric Center, LLC's NPI number?
- Northside Children'S Pediatric Center, LLC's National Provider Identifier (NPI) is 1396945515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Children'S Pediatric Center, LLC?
- Northside Children'S Pediatric Center, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Children'S Pediatric Center, LLC located?
- Northside Children'S Pediatric Center, LLC's practice location on file with NPPES is 391 East Main Street, Canton, GA 30114-2712.
- What is Northside Children'S Pediatric Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Children'S Pediatric Center, LLC is (770) 720-6963.
- Who is the authorized official for Northside Children'S Pediatric Center, LLC?
- The authorized official listed on Northside Children'S Pediatric Center, LLC's NPPES record is Stephanie Anderson, Rn-Pnp, Member, and (spouse of MD). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Children'S Pediatric Center, LLC's NPI active?
- Yes — Northside Children'S Pediatric Center, LLC's NPI (1396945515) is active in the NPPES registry as of the last update on 2012-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.