Courtney Yung Widjaja, M.D.
Pediatrics Physician · Lawrenceville, GA
Courtney Yung Widjaja, M.D. is a pediatrics physician with a practice address in Lawrenceville, Georgia, and NPI 1356904379, issued on Apr 16, 2019. Check the license (Georgia 92344, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Courtney Yung Widjaja
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 92344 GA
10825 GA
Self-reported in NPPES; status is on the state search - Practice location
- 595 Hurricane Shoals Road NW, Lawrenceville, GA 30046
- Phone
- (770) 995-0823
- Enumerated
- Apr 16, 2019
- Record last updated
- Sep 23, 2022
- Fax
- (770) 995-7018
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,258 in Georgia → Look up another NPI →
Also registered at 595 Hurricane Shoals Road NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Scott Darby, M.D.Pediatrics Physician1063851996
- Lauren Garmon, C.P.N.P.Pediatric Nurse Practitioner1144528928
- Hal Herd, MDPediatrics Physician1841206240
- Sara Jacobsen, M.D.Pediatrics Physician1902196553
- Homare Kubagawa, M.D.Pediatrics Physician1295052637
- Suzanne Molock, MDPediatrics Physician1487668133
Verify Courtney Yung Widjaja in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 92344Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $76.87
4 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Courtney Yung Widjaja among 2,258 pediatrics physician records in Georgia
Courtney Yung Widjaja, M.D. is one of 2,258 pediatrics physician records with a practice address in Georgia. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 85% of them.
- NPI issued2019 · 85% of these records are older, 12% newer
- In a Medicare fileYes · 47% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2022 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
59 pediatrics physician records list a practice address in Lawrenceville
They are 59 of the 4,400 NPPES records with a practice address in Lawrenceville, and 2,258 pediatrics physician records in Georgia.
All 2,258 in Georgia → Every provider in Lawrenceville → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Hal Herd, MDLawrenceville, GA 300461841206240
- Joanne Jackson, MDLawrenceville, GA 300461992750632
- Yolanda Johnson, MDLawrenceville, GA 300461215918388
- Jaletta Long, RN MN CFNPLawrenceville, GA 300461245306968
- Suzanne Molock, MDLawrenceville, GA 300461487668133
- Emmeleen Phan, MDLawrenceville, GA 300461790741593
- Jay Polokoff, M.D.Lawrenceville, GA 300461467415281
- Yvette Quisling, MDLawrenceville, GA 300461255345054
Common questions
What is Courtney Yung Widjaja, M.D.'s NPI number?
Courtney Yung Widjaja, M.D.'s National Provider Identifier (NPI) is 1356904379, issued on Apr 16, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Courtney Yung Widjaja, M.D. located?
The NPPES record lists a practice address at 595 Hurricane Shoals Road NW, Lawrenceville, GA, 30046. Phone: (770) 995-0823. Providers update this record themselves, so call before visiting.
How can I verify Courtney Yung Widjaja, M.D.'s license?
NPPES lists Georgia license number 92344, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.