Pediatric Digestive Health and Wellness

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC DIGESTIVE HEALTH AND WELLNESS

Practice address

3925 Harrison Rd Ste 100
Loganville, GA 30052-5898

Phone

(770) 274-4222

Fax

(770) 284-3187

NPI assigned

Jul 21, 2023

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derica N. Sams, MDNPI 1013443480

Title

Owner/ Authorized Official

Phone

(706) 340-4330

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derica N. Sams, M.D.

  • Pediatric Gastroenterology Physician
  • Loganville, GA
  • NPI 1013443480
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1083394266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 HARRISON RD STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525898",
            "telephone_number": "770-274-4222",
            "fax_number": "770-284-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 HARRISON RD STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525898",
            "telephone_number": "770-274-4222",
            "fax_number": "770-284-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DIGESTIVE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "DERICA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "706-340-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach State Retina, LLC
• Peaches Marie Peacock
• Jacqueline Pean
• Robyn Leeann Pearson
• Brittany Peddlar
• Sonya Pedro
• Kristen Peek, CPNP
• Kimberly Denise Pegues, FNP-C
• Shirley Rose Peltro, PHARM.D
• Althea Tiggs Penn, BSPT

• Pediatric Gastroenterology Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatric Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.