Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760640924 Individual Practitioner Female Practitioner

Dr. Beatrice Clodomir , DO

Pediatrics • Stone Mountain, GA

Professional Overview & Biography Verified Profile Summary

Dr. Beatrice Clodomir, DO is a registered healthcare professional specializing in Pediatrics in Stone Mountain, GA. Practice services are available at 5582 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5582 Memorial Dr

Stone Mountain, GA 300833215

Telephone 4042988998
Fax 4042987658
Associated Practice Facility / Clinic
🏢 Medcura Health, Inc. Facility NPI 1417011487

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Stone Mountain, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 65531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Julie Knisely , FNP-BC

Nurse Practitioner - Family

NPI 1033708441

Family Nurse Practitioner (Board Certified)

Lashanda Moore , NP

Nurse Practitioner - Family

NPI 1205306891

Nurse Practitioner

NPI 1235162769

Doctor of Medicine (M.D.), Master of Public Health

Dr. Aarhea Hope , DNP, FNP-C

Nurse Practitioner - Family

NPI 1255131074

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

NPI 1255446647

Doctor of Osteopathic Medicine (D.O.)

NPI 1285656181

Doctor of Podiatric Medicine, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 26, 2023

Registered at 5582 MEMORIAL DR, STONE MOUNTAIN, GA 300833215 (Tel: 4042988998)

📍
Updated Business Mailing Address December 26, 2023

Registered at 5582 MEMORIAL DR, STONE MOUNTAIN, GA 300833215 (Tel: 4042988998)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Pediatrics (License #65531 in GA)

NPI Profile Active May 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2008

Registered at 1000 MONTAUK HWY, WEST ISLIP, NY 117954927 (Tel: 6313764035)

📍
Updated Business Mailing Address May 23, 2008

Registered at 1000 MONTAUK HWY, WEST ISLIP, NY 117954927

👤
Provider Name / Credentials Updated May 23, 2008

Recorded as BEATRICE CLODOMIR, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2008

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760640924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2008
Last Update: December 26, 2023
Sole Proprietor: No

Mailing Address

5582 Memorial Dr

Stone Mountain, GA 300833215

Phone: 4042988998

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.