Physician Profile

Courtney Y. Widjaja, M.D.

Unclaimed Profile

About Dr. Widjaja

Based in Lawrenceville, GA, Courtney Y. Widjaja, M.D. is listed in the NPI registry under pediatrics. NPI 1356904379 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Pediatrics (Primary)

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. 10825As reported
GA licenceAs reported to the NPI registry
No. 92344As reported
NPINational Provider Identifier
1356904379Issued 2019

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Courtney Y. Widjaja?

Courtney Y. Widjaja is a pediatrician in Lawrenceville, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Pediatrics”.

NPI registry

What is Courtney Y. Widjaja's address?

Courtney Y. Widjaja is listed at 595 Hurricane Shoals Road Nw Suite 300, Lawrenceville, GA 30046. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Courtney Y. Widjaja?

The number on file is (770) 995-0823. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Courtney Y. Widjaja?

Courtney Y. Widjaja's National Provider Identifier is 1356904379. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Courtney Y. Widjaja have?

Courtney Y. Widjaja has 7+ years experience. Registered with an NPI since 2019. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Courtney Y. Widjaja's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Courtney Y. Widjaja. If this is you, claiming it is free.

Guide.md

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