KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C.
KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164432100, based in Tucker, GA. The organization lists 2 taxonomy classifications, with Pediatric Adolescent Medicine Physician recorded as primary.
Getting there
The practice address on file is 1462 MONTREAL RD STE 212, Tucker, GA 30084. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 041098 | GA | Pediatrics Physician |
| 041098 | GA | Pediatric Adolescent Medicine Physician primary |
This provider holds licence 041098 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adolescent Medicine covers
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | 041098 | GA | |
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | 041098 | GA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1164432100 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 9, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
1462 MONTREAL RD STE 212 Tucker, GA 30084 (404) 875-4261 Fax (770) 939-7750 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 4 | 3 | 2 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 8 | 3 | 4 | 1 | 0 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.