Larry D. Stewart Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

027123 Issued in GA

Practice address

1024 Keith Dr
Perry, GA 31069-2947

Phone

(478) 987-3445

Fax

(478) 987-3102

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Medicare reassignment NPD
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD
• Morningside Emergency Physicians LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1114975521
  NPD (past)
• Pediatric First, PC

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1407894165
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1285689778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 KEITH DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692947",
            "telephone_number": "478-987-3445",
            "fax_number": "478-987-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 KEITH DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692947",
            "telephone_number": "478-987-3445",
            "fax_number": "478-987-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LARRY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "027123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00326576G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Venisa Spooner
• Karunaker Reddy Sripathi, MD
• Veronica Gabrielle Stanley
• Christopher Kevin Stewart
• Jacob Stewart
• Summerhill, LLC
• Summit Physical Therapy
• Raelyn Jo Sumrall
• Yasmine Breshae Swift
• Tajendra Prasad Pharm LLC

• Pediatrics Physician in Perry, GA
• Providers in Perry, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.