OrganizationActive
Kids-Doc-On-Wheels
NPI 1497277404 · Pediatrics Physician · Clarkston, GA
Kids-Doc-On-Wheels is a Pediatrics Physician organization in Clarkston, GA (NPI 1497277404).
Provider details
- NPI number
- 1497277404
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynette Wilson-Phillips, Board of Directors(404) 574-2512
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
9 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
4112 E Ponce De Leon Ave # 2
Clarkston, GA 30021-8106
Phone: (404) 574-2512
Fax: (404) 296-7211
Street-level locationGet directions
Mailing address
4112 E Ponce De Leon Ave # 2
Clarkston, GA 30021-8106
Additional practice locations (1)
- 4112 E Ponce De Leon Ave # 2Clarkston, GA 30021-8106Phone: (404) 574-2512Fax: (404) 296-7211
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2017-12-14
Frequently asked questions
- What is Kids-Doc-On-Wheels's NPI number?
- Kids-Doc-On-Wheels's National Provider Identifier (NPI) is 1497277404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids-Doc-On-Wheels?
- Kids-Doc-On-Wheels is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kids-Doc-On-Wheels located?
- Kids-Doc-On-Wheels's practice location on file with NPPES is 4112 E Ponce De Leon Ave # 2, Clarkston, GA 30021-8106.
- What is Kids-Doc-On-Wheels's phone number?
- The practice phone number listed in the NPPES registry for Kids-Doc-On-Wheels is (404) 574-2512.
- Who is the authorized official for Kids-Doc-On-Wheels?
- The authorized official listed on Kids-Doc-On-Wheels's NPPES record is Lynette Wilson-Phillips, Board of Directors. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids-Doc-On-Wheels's NPI active?
- Yes — Kids-Doc-On-Wheels's NPI (1497277404) is active in the NPPES registry as of the last update on 2017-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.