Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Pediatrics, LLC

Organization Pediatrics Physician · NPI 1326317520

Lakeside Pediatrics, LLC is a Pediatrics Physician in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 Canton Rd
Cumming, GA 30040-2304
Phone: (770) 886-5437
Fax: (770) 886-9717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 040865 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 050209 (GA)

Record details

NPI number1326317520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bob Bagheri — President · (770) 886-5437
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011
Mailing address11565 Mountain Laurel Dr, Roswell, GA 30075-1333

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