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Kids Avenue Pediatrics LLC

Pediatrics Physician in College Park, GA · enumerated 2008 · authorized official Phyllis Stembridge, Practice Manager.

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

National Provider Identifier

1801057609

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Registry record

Entity type Organization (Type 2)
Legal business name Kids Avenue Pediatrics LLC
Practice address 1720 Phoenix Blvd, Suite900, College Park, GA, 30349
Phone (770) 909-8007
Fax (770) 909-8005
Enumeration date Jun 24, 2008
Last updated in NPPES Jun 24, 2008

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 027036 (GA) Primary

Authorized official

Name Phyllis Stembridge
Title Practice Manager
Phone (770) 909-8007

Other identifiers

Identifier Type State Issuer
497361413A 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

Who is the authorized official for Kids Avenue Pediatrics LLC?
NPPES lists Phyllis Stembridge (Practice Manager) as the authorized official for this organization.
What is the NPI number for Kids Avenue Pediatrics LLC?
The NPI for Kids Avenue Pediatrics LLC is 1801057609, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-24.