NPIMap

Organization Active NPI

Youthcare,PC

  • Pediatrics Physician
  • Warner Robins, GA
National Provider Identifier
1528098993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
031350 Issued in GA
Legal business name
YOUTHCARE,PC
Practice address
233 N Houston Rd
Suite 140-H
Warner Robins, GA 31093-3074
Phone
(478) 923-3360
Fax
(478) 923-9977
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Stephen Wade, MDNPI 1659329753
Title
Physician
Phone
(478) 923-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 031350 GA Primary

Addresses

Primary practice location

233 N Houston Rd
Suite 140-H
Warner Robins, GA 31093-3074

Mailing address

120 Osigian Blvd # B
Suite 100
Warner Robins, GA 31088-7880
Phone (478) 953-5358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528098993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OSIGIAN BLVD # B",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887880",
            "telephone_number": "478-953-5358",
            "fax_number": "478-953-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "SUITE 140-H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-923-3360",
            "fax_number": "478-923-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHCARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "478-923-3360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "031350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.