Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northside Children'S Pediatric Center, LLC

Pediatrics Physician in Canton, GA · enumerated 2007 · authorized official Stephanie Anderson, Rn-Pnp, Member, and (Spouse of MD).

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

National Provider Identifier

1396945515

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Registry record

Entity type Organization (Type 2)

Legal business name Northside Children'S Pediatric Center, LLC

Other name <Unavail>

Practice address 391 East Main Street, Historic Hawkins Building, Canton, GA, 30114

Phone (770) 720-6963

Fax (770) 720-6965

Enumeration date Jul 25, 2007

Last updated in NPPES Jan 24, 2012

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License GA 54532 (GA) Primary

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License GA PHYSICIAN 54532 (GA) Secondary

Authorized official

Name Stephanie Anderson

Title Rn-Pnp, Member, and (Spouse of MD)

Phone (770) 720-6963

Other identifiers

Identifier	Type	State	Issuer
629697125A	Medicaid	GA	-
1396945515	Other	GA	AUTH REPRESENTATIVE: MICHAEL G. ANDERSON, MD, ENTITY ATTENDING PHYSICIAN

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-01-24. Verify at npiregistry.cms.hhs.gov.

Where is Northside Children'S Pediatric Center, LLC located?

The practice location on file with NPPES is in Canton, GA.

Providers at this address

Browse all →

Michael Anderson Pediatrics Physician · Canton, GA NPI 1073685418 Stephanie Anderson Pediatric Nurse Practitioner · Canton, GA NPI 1609087972

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-24.