Kids Time Pediatrics of Southern Crescent, LLC
NPI 1447383351 · Pediatric Adolescent Medicine Physician · Fayetteville, GA
Kids Time Pediatrics of Southern Crescent, LLC is a Pediatric Adolescent Medicine Physician organization in Fayetteville, GA (NPI 1447383351).
Provider details
- NPI number
- 1447383351
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Flynn Clyburn, President(706) 342-2180
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
19 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
- 2007-03-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kids Time Pediatrics of Southern Crescent, LLC's NPI number?
- Kids Time Pediatrics of Southern Crescent, LLC's National Provider Identifier (NPI) is 1447383351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Time Pediatrics of Southern Crescent, LLC?
- Kids Time Pediatrics of Southern Crescent, LLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kids Time Pediatrics of Southern Crescent, LLC located?
- Kids Time Pediatrics of Southern Crescent, LLC's practice location on file with NPPES is 115 Sumner Rd, Fayetteville, GA 30214-4758.
- What is Kids Time Pediatrics of Southern Crescent, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kids Time Pediatrics of Southern Crescent, LLC is (706) 342-2180.
- Who is the authorized official for Kids Time Pediatrics of Southern Crescent, LLC?
- The authorized official listed on Kids Time Pediatrics of Southern Crescent, LLC's NPPES record is Flynn Clyburn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Time Pediatrics of Southern Crescent, LLC's NPI active?
- Yes — Kids Time Pediatrics of Southern Crescent, LLC's NPI (1447383351) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.