Doctor profile · Federal record
Dr. Courtney Widjaja, M.D.
Pediatrics Physician · Pediatrics Physician · Lawrenceville, GA
- NPI 1356904379
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
595 Hurricane Shoals Road Nw, Suite 300
Lawrenceville, GA 30046
(770) 995-0823
fax (770) 995-7018
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- September 23, 2022
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Georgia #92344 · Georgia #10825
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356904379. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$77
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 1 | $26.06 | |
| SOBI, INC | 1 | $19.33 | |
| Tris Pharma Inc | 1 | $16.79 | |
| Cranial Technologies, Inc | 1 | $14.69 |
By nature of payment
Frequently asked questions
What is Dr. Courtney Widjaja's medical specialty?
Dr. Courtney Widjaja practices Pediatrics Physician in Lawrenceville, GA.
Where does Dr. Courtney Widjaja practice?
Dr. Courtney Widjaja practices at 595 Hurricane Shoals Road Nw, Lawrenceville, GA 30046. Office phone: 7709950823.
What is Dr. Courtney Widjaja's NPI?
Dr. Courtney Widjaja's National Provider Identifier (NPI) is 1356904379, issued by NPPES.