Active NPI
Kids Start Pediatrics, P.C.
- Pediatrics Physician
- Lithia Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38305
- Legal business name
- KIDS START PEDIATRICS, P.C.
- Practice address
- 1515 Westfork Drive
Suite C
Lithia Springs, GA 30122-1544 - Phone
- (770) 941-5552
- Fax
- (770) 941-2289
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzhak A. Melamed, M.D.
- Title
- Pediatricians
- Phone
- (770) 941-5552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38305 | GA | Primary |
Addresses
Primary practice location
1515 Westfork Drive
Suite C
Lithia Springs, GA 30122-1544
Mailing address
1515 Westfork Drive
Suite C
Lithia Springs, GA 30122-1544
Phone (770) 941-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000618659D | Medicaid | GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0989048 | Kids Start Pediatrics, PC | Certificate of waiver | Jul 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
1515 Westfork Dr
Ste C
Lithia Springs, GA 30122
Phone (770) 941-5552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Lithia Springs, GA
- NPI 1235123399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1093858037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 WESTFORK DRIVE",
"address_2": "SUITE C",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221544",
"telephone_number": "770-941-5552",
"fax_number": "770-941-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 WESTFORK DRIVE",
"address_2": "SUITE C",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221544",
"telephone_number": "770-941-5552",
"fax_number": "770-941-2289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS START PEDIATRICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "MELAMED",
"authorized_official_first_name": "YITZHAK",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PEDIATRICIANS",
"authorized_official_telephone_number": "770-941-5552",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "38305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000618659D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.