Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Digestive Health and Wellness

Organization Pediatric Gastroenterology Physician · NPI 1083394266

Pediatric Digestive Health and Wellness provides Pediatric Gastroenterology Physician services in Loganville, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3925 Harrison Rd Ste 100
Loganville, GA 30052-5898
Phone: (770) 274-4222
Fax: (770) 284-3187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1083394266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derica Sams — Owner/ Authorized Official · (706) 340-4330
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address3925 Harrison Rd Ste 100, Loganville, GA 30052-5898