Organization Active NPI

Georgia Pediatrics, PC

  • Pediatrics Physician
  • Georgia, VT
National Provider Identifier
1003680372
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 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
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Edward Visker, MDNPI 1952667685
Title
President
Phone
(802) 318-1416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1052680Georgia Pediatrics927 Ethan Allen Hwy, Ste 1, Milton, VT 05468Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

927 Ethan Allen Hwy
Unit 1
Milton, VT 05468
Phone (802) 527-2237

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1003680372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 ETHAN ALLEN HIGHWAY",
            "address_2": "UNIT 1",
            "city": "GEORGIA",
            "state": "VT",
            "postal_code": "05468",
            "telephone_number": "802-527-2237",
            "fax_number": "802-527-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 ETHAN ALLEN HIGHWAY",
            "address_2": "UNIT 1",
            "city": "GEORGIA",
            "state": "VT",
            "postal_code": "05468",
            "telephone_number": "802-527-2237",
            "fax_number": "802-527-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "VISKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-318-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgia, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.