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Life Cycle Pediatrics, LLC

Pediatrics Physician in Decatur, GA · enumerated 2018 · authorized official Gwendolyn Williams, Office Manager.

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

National Provider Identifier

1508363128

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Registry record

Entity type Organization (Type 2)
Legal business name Life Cycle Pediatrics, LLC
Practice address 428 Winn Ct Ste 100a, Decatur, GA, 30030
Fax (470) 698-2141
Enumeration date Apr 10, 2018
Last updated in NPPES Apr 10, 2018

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Gwendolyn Williams
Title Office Manager

Other identifiers

Identifier Type State Issuer
894980142A Medicaid GA -
894980142D 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.

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Frequently asked questions

Where is Life Cycle Pediatrics, LLC located?
The practice location on file with NPPES is in Decatur, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-10.