Jesup Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JESUP PEDIATRICS, P.C.

Practice address

176 Memorial Dr
Jesup, GA 31545-0101

Phone

(912) 427-9378

Fax

(912) 427-9852

NPI assigned

Mar 8, 2007

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Platon J Collipp, MDNPI 1609875590

Title

President

Phone

(912) 427-9378

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Platon J Collipp, M.D.

  • Pediatric Endocrinology Physician
  • Jesup, GA
  • NPI 1609875590
  NPD (past) Authorized official
• Cuyler Cribbs

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1952700601
  NPD
• Daniel B Collipp, D.O.

  • Pediatrics Physician
  • Jesup, GA
  • NPI 1033118906
  NPD (past)
• Kara Scott, NP

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1508575085
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1316078538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450101",
            "telephone_number": "912-427-9378",
            "fax_number": "912-427-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450101",
            "telephone_number": "912-427-9378",
            "fax_number": "912-427-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUP PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "COLLIPP",
        "authorized_official_first_name": "PLATON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-427-9378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria I Jeske, DPT, PT
• Jesup Emergency Services, LLC
• Jesup Health Care and Family Practice (Jesup Urgent Care)
• Jesup Healthcare LLC (Jesup HealthCare)
• Jesup Operator LLC (Jesup Health and Rehab)
• Jesup Ridge of Journey LLC
• Jesupcare Anesthesia, PC
• John Lex Kenerly, III, MD
• Ashleigh Lewis Johnson, PAC
• Carelle Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.