The whole journey
The same doctors, from your first prenatal visit to age 21
Families do not change pediatricians here; children grow up with theirs. Dr. Madhuri Viswanadham and Adam J. Ayer, DNP have cared for some families across two generations. This is how we walk with you at each stage, in our own words.
NCQAPatient-Centered Medical HomeStage by stage
How we help at every age
Before birth
A prenatal visit to meet us
Expecting parents meet the doctor, ask anything, and leave knowing who to call from the hospital. We talk feeding plans, car seats, safe sleep, and what the first week looks like.
Birth to 12 months
Seven visits and a phone that gets answered
Newborn checks within days of going home, then well visits at 1, 2, 4, 6, 9 and 12 months. Feeding, sleep, crying, rashes, fevers, vaccines, and the reassurance that most of it is normal. Our [baby navigator](/baby) gathers the common questions.
1 to 5 years
Language, behavior and the first big screenings
Developmental and autism screening, speech, tantrums, potty training, picky eating, colds by the dozen, and a new book at every visit through Reach Out and Read. See the [toddler and preschool navigator](/toddler-and-preschool).
5 to 12 years
School, attention, sports and confidence
Yearly visits with school and sports forms done on the spot, attention and learning evaluations with the school in the loop, asthma and allergy plans, healthy weight, and the first puberty conversation. See the [school-age navigator](/school-age).
12 to 18 years
Privacy, honesty and mental health
Time alone with the doctor at every visit, confidential screening for mood, substances and safety, sleep and screens, acne and periods, vaccines for the teen years, and a partner for parents. See the [teen navigator](/teens).
18 to 21 years
Taking over, and a planned hand-off
Your own records and decisions, college health, insurance basics, and when you are ready, a transition to adult medicine we plan together. See the [young adult navigator](/young-adults).
Any age
A medical home for children with special needs
Care coordination, closed-loop referrals, Katie Beckett and waiver documentation, school plans and continuity of care through 21, all from one office. See the [special needs navigator](/special-needs-navigator).
In our words
Why we practice this way
The families who have been with me twenty years taught me what pediatrics is: not a visit, a relationship. When I know a child’s story, I catch things early and I worry less, and so do the parents.
Dr. Madhuri Viswanadham, MD, FAAP
Teenagers tell me things they have not told anyone, because I have promised them privacy and kept it. That trust is the most useful tool I have, and it is why parents end up better informed, not less.
Adam J. Ayer, DNP
A child with autism or a complex condition needs one place that holds the whole picture. We are that place, and we stay it through 21.
Dr. Madhuri Viswanadham, MD, FAAP
We are an independent practice and an NCQA-recognized Patient-Centered Medical Home. Same-day sick visits every weekday, telehealth for established patients in Georgia, Georgia Medicaid and most commercial plans, and care in English and Spanish. That is the practical side of the same idea: a doctor who knows you, for as long as you need one.
Start the journey
Expecting, new to Alpharetta, or looking for a change: call or text (770) 615-7000, or read how to join.