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Dr. Stephen John Klacik , MD

Pediatrics • Gainesville, GA

Active NPI 1922088293 Individual Practitioner Male Practitioner
Practice location in NPPES

725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834

Call 7705353611 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705353611
Fax 7705357092
Organization at the Same NPPES Address or Phone
The Longstreet Clinic, Pc Facility NPI 1326019977

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Baldwin, GA; Braselton, GA; Buford, GA and 2 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $23.59 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gainesville and Georgia

38 active clinicians are listed under Pediatrics with a practice address in Gainesville, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0% of these 38 clinicians have the CMS telehealth indicator.

0% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $23.59.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $23.59

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 054230

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
845371853A (GA)
Medicaid ID
845371853B (GA)
Medicaid ID
845371853C (GA)
Medicaid ID
845371853D (GA)
Medicaid ID
845371853F (GA)
Other Identifier Cigna
3548885 (GA)
Other Identifier Wellcare
302580 (GA)
Other Identifier Aetna Hmo
3532508 (GA)
Other Identifier Uhc
1908730 (GA)
Other Identifier Wellcare
302581 (GA)

Secondary Practice Locations

1270 Friendship Rd

Braselton, GA 305175630

Phone: 6782074200

155 Professional Dr

Baldwin, GA 305114000

Phone: 7067762368

4019 Executive Drive

Oakwood, GA 305663433

Phone: 7705336500

743 Spring St Ne

Gainesville, GA 305013715

Phone: 7705353611

1400 River Pl

Braselton, GA 305175600

Phone: 7705353611

4095 S Lee St

Buford, GA 305183647

Phone: 7709328519

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Candice Evans , CFNP

Nurse Practitioner - Pediatrics

NPI 1215909213
NPI 1083605554

Doctor of Medicine (M.D.)

NPI 1053391979

Doctor of Medicine (M.D.)

NPI 1366603326

Doctor of Medicine (M.D.)

NPI 1396372496

Doctor of Osteopathic Medicine (D.O.)

Haley Wilson , PA-C

Physician Assistant - Medical

NPI 1336111046

Physician Assistant (Certified)

Career & Practice History

NPI enumerated January 20, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1922088293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: August 17, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Gainesville

All Pediatrics Specialists in Gainesville

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.