LIFE CYCLE PEDIATRICS, LLC – NPI #1003584327
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

LIFE CYCLE PEDIATRICS, LLC is a provider located in RIVERDALE, GA. NPPES has assigned the NPI number 1003584327 to LIFE CYCLE PEDIATRICS, LLC on September 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE CYCLE PEDIATRICS, LLC below.

NPI Profile for
LIFE CYCLE PEDIATRICS, LLC

NPI Number
1003584327
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFE CYCLE PEDIATRICS, LLC
Primary location
150 MEDICAL WAY STE B
RIVERDALE, GA 30274-2533
Phone: (770) 692-2800 Fax: (770) 692-2804
Mailing address
2739 FELTON DR
EAST POINT, GA 30344-3603
Phone: (404) 766-8371 Fax: (404) 767-3926
Organization Subpart
No
Authorized Official
GWENDOLYN WILLIAMS
OFFICE MANAGER
Phone: (404) 228-0601
Updated
Certification Date
Aug 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LIFE CYCLE PEDIATRICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA1578526539
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
PRACTICE EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
2739 FELTON DR,
EAST POINT, GA 77025-1669