NPIMap

Organization Active NPI

Pda Ortho Specialty of Georgia, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
National Provider Identifier
1982169173
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PDA ORTHO SPECIALTY OF GEORGIA, LLC
Practice address
3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379
Phone
(770) 222-2322
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Lauren Howard, MA
Title
Credentialing Specialist
Phone
(757) 576-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379

Mailing address

11 S Mill St Ste 200
New Castle, PA 16101-3680

Other practice location 1

1867 Jonesboro Rd Ste 12
McDonough, GA 30253-6099
Phone (770) 222-2322

Other practice location 2

1111 Johnson Ferry Rd Ste 100
Marietta, GA 30068-5414
Phone (770) 222-2322

Other practice location 3

4374 Atlanta Hwy Ste 111
Hiram, GA 30141-1849
Phone (770) 222-2322

Other practice location 4

10377 Industrial Blvd NE
Covington, GA 30014-1403
Phone (770) 222-2322

Other practice location 5

5215 Windward Pkwy Ste D
Alpharetta, GA 30004-3887
Phone (770) 222-2322

Other practice location 6

3186 Lawrenceville Suwanee Rd Ste 5
Suwanee, GA 30024-4878
Phone (770) 222-2322

National Provider Directory

National Provider Directory

Locations

3450 Cobb Pkwy NW
Ste 160
Acworth, GA 30101
Phone (770) 203-1711

5215 Windward Pkwy
Ste D
Alpharetta, GA 30004
Phone (636) 332-8318

10377 Industrial Blvd NE
Covington, GA 30014
Phone (770) 222-2322

4374 Atlanta Hwy
Ste 111
Hiram, GA 30141
Phone (770) 222-2322

1111 Johnson Ferry Rd
Ste 100
Marietta, GA 30068
Phone (770) 222-2322

1867 Jonesboro Rd
Ste 12
McDonough, GA 30253
Phone (770) 222-2322

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1982169173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 COBB PKWY NW STE 160",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018379",
            "telephone_number": "770-222-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Jonesboro Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536099",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Johnson Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685414",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4374 Atlanta Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301411849",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10377 Industrial Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300141403",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 Windward Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300043887",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3186 Lawrenceville Suwanee Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244878",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PDA ORTHO SPECIALTY OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "757-576-5479",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.