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

Pediatric Associates, PC

Organization Pediatrics Physician · NPI 1790994317

Pediatric Associates, PC is a Pediatrics Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Johnson Ferry Rd Ste 204
Marietta, GA 30062-5683
Phone: (770) 993-2922
Fax: (770) 993-7325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 025457 (GA)

Record details

NPI number1790994317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Licata — President · (770) 993-2922
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3000 Johnson Ferry Rd, Suite 204, Marietta, GA 30062-5683

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