OrganizationActive
Vibrant Kids Pediatrics, LLC
NPI 1811241417 · Clinic/Center · Newnan, GA
Vibrant Kids Pediatrics, LLC is a Clinic/Center organization in Newnan, GA (NPI 1811241417).
Provider details
- NPI number
- 1811241417
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Dickerson, Manager(678) 423-5560
- License
- 061061 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
10 Market Square Way Ste 100
Newnan, GA 30265-6078
Phone: (678) 423-5560
Fax: (678) 423-5563
Street-level locationGet directions
Mailing address
87 Tapestry Ln
Newnan, GA 30265-5649
Registry dates
- Enumerated
- 2012-11-04
- Last updated
- 2012-11-04
Frequently asked questions
- What is Vibrant Kids Pediatrics, LLC's NPI number?
- Vibrant Kids Pediatrics, LLC's National Provider Identifier (NPI) is 1811241417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vibrant Kids Pediatrics, LLC?
- Vibrant Kids Pediatrics, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vibrant Kids Pediatrics, LLC located?
- Vibrant Kids Pediatrics, LLC's practice location on file with NPPES is 10 Market Square Way Ste 100, Newnan, GA 30265-6078.
- What is Vibrant Kids Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vibrant Kids Pediatrics, LLC is (678) 423-5560.
- Who is the authorized official for Vibrant Kids Pediatrics, LLC?
- The authorized official listed on Vibrant Kids Pediatrics, LLC's NPPES record is Jill Dickerson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vibrant Kids Pediatrics, LLC's NPI active?
- Yes — Vibrant Kids Pediatrics, LLC's NPI (1811241417) is active in the NPPES registry as of the last update on 2012-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.