| NPI | 1235388786 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-09-09 |
| Last Updated | 2008-09-09 |
| Authorized Official | Shellie Voorhees Manager Phone: 9123834352 |
| Mailing Address | 100 Doctors Dr, Suite 104 Douglas, GA 31533-2210 United States Phone: (912) 383-4352 | Fax: (912) 384-1192 📍 View Map |
| Primary Practice Address | 100 Doctors Dr, Suite 104 Douglas, GA 31533-2210 United States Phone: (912) 383-4352 | Fax: (912) 384-1192 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000718792E | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | GA | 042212 |
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About NPI 1235388786
The Kid Doctor Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1235388786. The primary specialty listed is Pediatrics. The organization is located in Douglas, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1235388786?
NPI 1235388786 belongs to The Kid Doctor Pc, a Pediatrics in Douglas, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1235388786 active?
The current status of NPI 1235388786 in the NPPES registry is Active. The record was last updated on 2008-09-09.
What specialty is NPI 1235388786?
NPI 1235388786 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1235388786?
You can verify NPI 1235388786 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1235388786?
The primary practice address on file for NPI 1235388786 is 100 Doctors Dr, Douglas, GA 31533-2210. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1235388786 issued?
NPI 1235388786 was first issued (enumerated) on 2008-09-09. The NPPES record was last updated on 2008-09-09.
Practice Location Map
The Kid Doctor Pc is located at 100 Doctors Dr, Douglas, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as The Kid Doctor Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1235388786. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 042212 | GA |