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

Pediatrics and Adolescent Medicine, PA

Organization Pediatrics Physician · NPI 1083746838

Pediatrics and Adolescent Medicine, PA provides Pediatrics Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 Post Oak Tritt Rd Ste 100
Marietta, GA 30062-8620 Not confirmed with CMS for 10 years — call before visiting
Phone: (770) 973-4700
Fax: (770) 973-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 22123 (GA)

Record details

NPI number1083746838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Sevin — Practice Administrator · (770) 973-4700
Other names Pampa
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 26, 2016
Mailing addressPo Box 102613, Atlanta, GA 30368-2613

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