NPIMap

Children'S Healthcare Center, LLC

Organization Active NPI Pediatrics Physician · Sandersville, GA

NPI 1174466577 · NPPES record last updated Apr 10, 2026

Key facts

NPI
1174466577
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CHILDREN'S HEALTHCARE CENTER, LLC
Practice address
510 Washington Ave
Sandersville, GA 31082-1971
Phone
(478) 412-6522
Fax
(478) 412-6521
NPI assigned
Apr 10, 2026
Organization subpart
No

Authorized official

Name
Dr. Christy M Mountain-Bonner, MD
Title
Owner/Ceo
Phone
(678) 772-1259

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2117890Children'S Healthcare, LLC
510 Washington Avenue, Sandersville, GA 31082		Certificate of waiverAug 24, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

510 Washington Ave
Sandersville, GA 31082-1971

Mailing address

510 Washington Ave
Sandersville, GA 31082-1971
Phone (478) 412-6522

Other providers in Sandersville, GA

All providers in Sandersville, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.