Active NPI
Sumter Pediatrics LLC
- Pediatrics Physician
- Americus, GA
National Provider Identifier
1396497285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SUMTER PEDIATRICS LLC
- Practice address
- 151 Ga Highway 27 E
Americus, GA 31709-5249 - Phone
- (229) 924-8082
- NPI assigned
- Jan 21, 2022
- Organization subpart
- Yes
- Parent organization
- SUMTER PEDIATRICS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nelson Madrazo
- Title
- Managing Member
- Phone
- (229) 924-8082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
151 Ga Highway 27 E
Americus, GA 31709-5249
Mailing address
PO Box 288
Americus, GA 31709-0288
Phone (229) 924-8082
National Provider Directory
National Provider Directory- Part of
- Sumter Pediatrics LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1396497285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317090288",
"telephone_number": "229-924-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 GA HIGHWAY 27 E",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317095249",
"telephone_number": "229-924-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMTER PEDIATRICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMTER PEDIATRICS LLC",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "MADRAZO",
"authorized_official_first_name": "NELSON",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "229-924-8082"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.