OrganizationActive
Pediatric Associates, PC
NPI 1790994317 · Pediatrics Physician · Marietta, GA
Pediatric Associates, PC is a Pediatrics Physician organization in Marietta, GA (NPI 1790994317).
Provider details
- NPI number
- 1790994317
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Licata, President(770) 993-2922
- License
- 025457 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
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
3000 Johnson Ferry Rd
Suite 204
Marietta, GA 30062-5683
Phone: (770) 993-2922
Fax: (770) 993-7325
Street-level locationGet directions
Mailing address
3000 Johnson Ferry Rd
Marietta, GA 30062-5683
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Associates, PC's NPI number?
- Pediatric Associates, PC's National Provider Identifier (NPI) is 1790994317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Associates, PC?
- Pediatric Associates, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Associates, PC located?
- Pediatric Associates, PC's practice location on file with NPPES is 3000 Johnson Ferry Rd, Marietta, GA 30062-5683.
- What is Pediatric Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Associates, PC is (770) 993-2922.
- Who is the authorized official for Pediatric Associates, PC?
- The authorized official listed on Pediatric Associates, PC's NPPES record is Robert Licata, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Associates, PC's NPI active?
- Yes — Pediatric Associates, PC's NPI (1790994317) 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.