Active NPI
Milledgeville Pediatrics PC
- Pediatrics Physician
- Milledgeville, GA
National Provider Identifier
1558500983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MILLEDGEVILLE PEDIATRICS PC
- Practice address
- 750 N Cobb St Ste 230
Milledgeville, GA 31061-7162 - Phone
- (478) 453-9383
- Fax
- (478) 452-1147
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lakeycia Michelle Robinson
- Title
- Office Manager
- Phone
- (478) 453-9383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
750 N Cobb St Ste 230
Milledgeville, GA 31061-7162
Mailing address
750 N Cobb St Ste 230
Milledgeville, GA 31061-7162
Phone (478) 453-9383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011822A | Medicaid | GA | |
| 741629148A | Medicaid | GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0263671 | Milledgeville Pediatrics, PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
750 N Cobb St
Ste 230
Milledgeville, GA 31061
Phone (478) 453-9383
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Milledgeville, GA
- NPI 1093336687
-
- Pediatrics Physician
- Milledgeville, GA
- NPI 1578780037
-
- Pediatrics Physician
- Milledgeville, GA
- NPI 1407946825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1558500983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COBB ST STE 230",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617162",
"telephone_number": "478-453-9383",
"fax_number": "478-452-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N COBB ST STE 230",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617162",
"telephone_number": "478-453-9383",
"fax_number": "478-452-1147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLEDGEVILLE PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "LAKEYCIA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "478-453-9383",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00011822A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "741629148A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
- Milledgeville Familly Practice Center P.C.
- Milledgeville Family Practice Center P.C.
- Milledgeville Medical Center Pharmacy Inc (Medical Center Pharmacy)
- Milledgeville OBGYN Associates, P.C.
- Milledgeville Orthotics Inc (no)
- Lauren S Mills, FNP-C
- Paul Michael Mills, ATC-LAT
- Shanequa Milner
- Katharine E Milnes, AU.D.
- Kyaw Minn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.