Kaleidoscope Pediatrics PC
NPI 1407045495 · Pediatric Adolescent Medicine Physician · Marietta, GA
Kaleidoscope Pediatrics PC is a Pediatric Adolescent Medicine Physician organization in Marietta, GA (NPI 1407045495).
Provider details
- NPI number
- 1407045495
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Staviss, President(770) 509-1234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2007-10-16
Frequently asked questions
- What is Kaleidoscope Pediatrics PC's NPI number?
- Kaleidoscope Pediatrics PC's National Provider Identifier (NPI) is 1407045495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaleidoscope Pediatrics PC?
- Kaleidoscope Pediatrics PC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kaleidoscope Pediatrics PC located?
- Kaleidoscope Pediatrics PC's practice location on file with NPPES is 1523 Johnson Ferry Rd, Marietta, GA 30062-6438.
- What is Kaleidoscope Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Kaleidoscope Pediatrics PC is (770) 509-1234.
- Who is the authorized official for Kaleidoscope Pediatrics PC?
- The authorized official listed on Kaleidoscope Pediatrics PC's NPPES record is Susan Staviss, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaleidoscope Pediatrics PC's NPI active?
- Yes — Kaleidoscope Pediatrics PC's NPI (1407045495) is active in the NPPES registry as of the last update on 2007-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.