Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kids-Doc-on-Wheels

Pediatrics Physician in Clarkston, GA · enumerated 2017 · authorized official Lynette Wilson-Phillips, Board of Directors.

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

National Provider Identifier

1497277404

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Registry record

Entity type Organization (Type 2)

Legal business name Kids-Doc-on-Wheels

Practice address 4112 E Ponce De Leon Ave # 2, Clarkston, GA, 30021

Phone (404) 574-2512

Fax (404) 296-7211

Enumeration date Jul 11, 2017

Last updated in NPPES Dec 14, 2017

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lynette Wilson-Phillips

Title Board of Directors

Phone (404) 574-2512

Other identifiers

Identifier	Type	State	Issuer
003193946A	Medicaid	GA	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Kids-Doc-on-Wheels located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-12-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-12-14.