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Lakeside Pediatrics, LLC

Pediatrics Physician in Cumming, GA · enumerated 2011 · authorized official Bob Bagheri, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326317520

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Pediatrics, LLC
Practice address 204 Canton Rd, Cumming, GA, 30040
Phone (770) 886-5437
Fax (770) 886-9717
Enumeration date Dec 19, 2011
Last updated in NPPES Dec 19, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 040865 (GA) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 050209 (GA) Secondary

Authorized official

Name Bob Bagheri
Title President
Phone (770) 886-5437

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lakeside Pediatrics, LLC?
Lakeside Pediatrics, LLC is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-19.