OrganizationActive
Spirit of Key West LLC
NPI 1881138279 · Primary Care Clinic/Center · Buford, GA
Spirit of Key West LLC is a Primary Care Clinic/Center organization in Buford, GA (NPI 1881138279).
Provider details
- NPI number
- 1881138279
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jana Himmelbaum, Owner(678) 765-8622
- License
- 75152 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
5629 Holiday Rd
Buford, GA 30518-1519
Phone: (678) 765-8622
Fax: (678) 765-8621
Street-level locationGet directions
Mailing address
5629 Holiday Rd
Buford, GA 30518-1519
Other names (DBA / former)
- Doing business as
- Lake Lanier Pediatrics
- Doing business as
- Suwanahoochee Pediatrics
Additional practice locations (1)
- 110 Peachtree Industrial Blvd Ste aSugar Hill, GA 30518-6288Phone: (678) 765-8622Fax: (678) 765-8621
Registry dates
- Enumerated
- 2016-12-05
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Spirit of Key West LLC's NPI number?
- Spirit of Key West LLC's National Provider Identifier (NPI) is 1881138279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spirit of Key West LLC?
- Spirit of Key West LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spirit of Key West LLC located?
- Spirit of Key West LLC's practice location on file with NPPES is 5629 Holiday Rd, Buford, GA 30518-1519.
- What is Spirit of Key West LLC's phone number?
- The practice phone number listed in the NPPES registry for Spirit of Key West LLC is (678) 765-8622.
- Who is the authorized official for Spirit of Key West LLC?
- The authorized official listed on Spirit of Key West LLC's NPPES record is Jana Himmelbaum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spirit of Key West LLC's NPI active?
- Yes — Spirit of Key West LLC's NPI (1881138279) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.