Individual provider Active NPI

Elizabeth M Sledge, M.D.

  • Pediatrics Physician
  • College Station, TX
National Provider Identifier
1184062192
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q8793 Issued in TX
Practice address
3251 Harvey Rd Ste 200
College Station, TX 77845-9407
Phone
(979) 776-0700
Fax
(979) 776-5624
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q8793 TX Primary

Addresses

Primary practice location

3251 Harvey Rd Ste 200
College Station, TX 77845-9407

Mailing address

3251 Harvey Rd Ste 200
College Station, TX 77845-9407
Phone (979) 776-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160806000071 TX Practitioner - Pediatric Medicine 2365741238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pediatrics Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

3251 Harvey Rd
College Station, TX 77845
Phone (979) 776-0700

3251 Harvey Rd
Ste 200
College Station, TX 77845
Phone (979) 776-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFJBDD/Endpoint/GFJBDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1184062192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 HARVEY RD STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459407",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 HARVEY RD STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459407",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q8793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.