OrganizationActive
Pediatric Center for Wellness
NPI 1437416708 · Pediatrics Physician · Conyers, GA
Provider details
- NPI number
- 1437416708
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chantel Runnels, Director of Operations(678) 750-4000
- License
- 58813 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1506 Klondike Rd Sw Ste 205
Conyers, GA 30094-5173
Phone: (678) 750-4000
Fax: (678) 750-4005
Street-level locationGet directions
Mailing address
1506 Klondike Rd Sw Ste 205
Conyers, GA 30094-5173
Additional practice locations (1)
- 1015 Milstead Ave Ne Ste 100Conyers, GA 30012-4515Phone: (678) 750-4000Fax: (678) 750-4005
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.