Georgia Pediatrics, PC
Organization Active NPI Pediatrics Physician · Georgia, VT
NPI 1003680372 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1003680372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- GEORGIA PEDIATRICS, PC
- Practice address
- 927 Ethan Allen Highway
Unit 1
Georgia, VT 05468 - Phone
- (802) 527-2237
- Fax
- (802) 527-2267
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Edward Visker, MD
- Title
- President
- Phone
- (802) 318-1416
Practitioners 1
-
Michael Edward Visker, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D1052680 | Georgia Pediatrics | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
927 Ethan Allen Highway
Unit 1
Georgia, VT 05468
Mailing address
927 Ethan Allen Highway
Unit 1
Georgia, VT 05468
Phone (802) 527-2237
Other providers in Georgia, VT
- Georgia Health Center P.C.
- Richard James
- Charles Alan Miranda
- Susan Saferstein
- David A.H. Spence
- Miriam S Sturgis
All providers in Georgia, VT · Pediatrics Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.