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

Pediatric Digestive Health and Wellness

Organization Pediatric Gastroenterology Physician · NPI 1083394266

Pediatric Digestive Health and Wellness is a Pediatric Gastroenterology Physician in Loganville, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3925 Harrison Rd Ste 100
Loganville, GA 30052-5898
Phone: (770) 274-4222
Fax: (770) 284-3187
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1083394266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derica Sams — Owner/ Authorized Official · (706) 340-4330
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address3925 Harrison Rd Ste 100, Loganville, GA 30052-5898