AGC PEDIATRICS, LLC — NPI 1851708242 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in CARTERSVILLE, GA)

CMS-1500 Box 24J / 33a • NPI

1851708242

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LP0200X (CMS 50)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

5 MEDICAL DR NE, CARTERSVILLE, GA, 30121-8003

✓ 9-Digit EDI 837 ZIP+4 (30121-8003)

Practice Phone & Referral Fax

(706) 625-5900

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1851708242 (AGC PEDIATRICS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1851708242` (NPI-2 Organization / Facility)
Provider / Legal Name	AGC PEDIATRICS, LLC
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `363LP0200X` (Nurse Practitioner, Pediatrics)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	5 MEDICAL DR NE, CARTERSVILLE, GA, 30121-8003
Practice Telephone / Fax	Tel: (706) 625-5900
Administrative Mailing Address	204 PROFESSIONAL CT SE, CALHOUN, GA, 30701-7020
Enumeration & Last Sync	Enumerated: 2014-07-17 \| CMS Record Updated: 2020-05-12
Authorized Official	JOHN JOYAVE (CONTROLLER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5 MEDICAL DR NE, CARTERSVILLE, GA, 30121-8003

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Plain-English Taxonomy & CMS Crosswalk (363LP0200X)

What Does Taxonomy Code 363LP0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0200X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGC PEDIATRICS, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LP0200X` — Nurse Practitioner, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: GA \| License: `RN211260` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGC PEDIATRICS, LLC (NPI #1851708242)