Kids Care Clinic

LBN: New Medical Center Pc
Kids Care Clinic is an health care organization with primary practice located at 72 Kent Rd Ste 4 , Tifton GA 31794-1695. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. New Medical Center Pc can be contacted via phone (229) 386-5101, or through Chainani, Nandlal via phone (229) 386-5101.

Contact Information

Primary practice address
72 Kent Rd Ste 4 Tifton GA 31794-1695
Fax: (229) 386-2277
Website:
Authorized official contact:
Name: Chainani, Nandlal Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 63840 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44893 Georgia

Profile Details

NPI number 1760660203
LBN Legal business name New Medical Center Pc
DBA Doing business as Kids Care Clinic
Authorized official Chainani, Nandlal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Aug 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760660203 NPPES
Georgia Other 202G701254 MEDICARE PTAN
Georgia MEDICAID 7959569408A MEDICARE PTAN

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