Sumter Pediatrics

LBN: Sumter Pediatrics Llc
Sumter Pediatrics is an health care organization with primary practice located at 151 Ga Highway 27 E , Americus GA 31709-5249. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Sumter Pediatrics Llc can be contacted via phone (229) 924-8082, or through Madrazo, Nelson T via phone (229) 924-8082.

Contact Information

Primary practice address
151 Ga Highway 27 E Americus GA 31709-5249
Phone: (229) 924-8082
Fax: (229) 924-8009
Website:
Map and Directions
Authorized official contact:
Name: Madrazo, Nelson T Doctor of Medicine (MD)
Phone: (229) 924-8082

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004223 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1144400664
LBN Legal business name Sumter Pediatrics Llc
DBA Doing business as Sumter Pediatrics
Authorized official Madrazo, Nelson T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Jan 19th, 2022 - about 4 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 1144400664 NPPES
Georgia MEDICAID 219934685A

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