Kids Avenue Pediatrics LLC
NPI 1801057609 · Pediatrics Physician · College Park, GA
Kids Avenue Pediatrics LLC is a Pediatrics Physician organization in College Park, GA (NPI 1801057609).
Provider details
- NPI number
- 1801057609
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phyllis Stembridge, Practice Manager(770) 909-8007
- License
- 027036 (GA)
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
17 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
- 2008-06-24
- Last updated
- 2008-06-24
Frequently asked questions
- What is Kids Avenue Pediatrics LLC's NPI number?
- Kids Avenue Pediatrics LLC's National Provider Identifier (NPI) is 1801057609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Avenue Pediatrics LLC?
- Kids Avenue Pediatrics LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kids Avenue Pediatrics LLC located?
- Kids Avenue Pediatrics LLC's practice location on file with NPPES is 1720 Phoenix Blvd, College Park, GA 30349-5594.
- What is Kids Avenue Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for Kids Avenue Pediatrics LLC is (770) 909-8007.
- Who is the authorized official for Kids Avenue Pediatrics LLC?
- The authorized official listed on Kids Avenue Pediatrics LLC's NPPES record is Phyllis Stembridge, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Avenue Pediatrics LLC's NPI active?
- Yes — Kids Avenue Pediatrics LLC's NPI (1801057609) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.