WALTON CHILDREN'S CLINIC – Pediatrics Physician, NPI 1396145058

Pediatrics Physician

WALTON CHILDREN'S CLINIC is a healthcare provider. based in Loganville, Georgia. specializing in Pediatrics Physician. The organization holds a License No. 036724 (GA). The NPI Number for WALTON CHILDREN'S CLINIC is 1396145058

Main info

Organization

Name

WALTON CHILDREN'S CLINIC

NPI

1396145058

Phone

(770) 207-5437

Address

98 TARA COMMONS DR

Authorized Official

EBBA K EBBA PRESIDENT MD

Enumeration Date

1 September 2014

Last Update Date

23 September 2015

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for WALTON CHILDREN'S CLINIC

98 TARA COMMONS DR
SUITE 400
LOGANVILLE, GA 300528031
Phone: (770) 207-5437
Fax: (770) 207-7263
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30052)

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Reviews

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Frequently asked questions

What number should I use to identify WALTON CHILDREN'S CLINIC for billing?

Administrative and clinical systems typically use NPI 1396145058 for WALTON CHILDREN'S CLINIC.

Should I treat WALTON CHILDREN'S CLINIC as an active provider?

Patients and plans typically see WALTON CHILDREN'S CLINIC as active in the national extract.

What does the directory say WALTON CHILDREN'S CLINIC does?

Insurance directories may phrase it differently, but here WALTON CHILDREN'S CLINIC maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to WALTON CHILDREN'S CLINIC?

WALTON CHILDREN'S CLINIC shows a connection to Loganville, Georgia in registry-derived data.

Can I export WALTON CHILDREN'S CLINIC's record?

You can download the official NPPES record; we summarize key fields for readability.