NPIMap

Organization Active NPI

Growing Together Pediatrics, LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1629322755
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GROWING TOGETHER PEDIATRICS, LLC
Practice address
5164 S. Conway Rd
Orlando, FL 32819-1252
Phone
(407) 770-1414
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Mr. Alan James McHaffie
Title
Ceo
Phone
(407) 770-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5164 S. Conway Rd
Orlando, FL 32819-1252

Mailing address

5164 S. Conway Rd
Orlando, FL 32819-1252
Phone (407) 770-1414

Other practice location 1

1583 E Silver Star Rd
Ocoee, FL 34761-2553
Phone (407) 770-1414

Other practice location 2

1171 Cliff Rose Dr
Winter Springs, FL 32708-2808
Phone (407) 770-1414

Other identifiers 1

IdentifierTypeStateIssuer
008603700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Growing Together Pediatrics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1583 E Silver Star Rd
Ocoee, FL 34761
Phone (407) 770-1414

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1629322755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 S. CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328191252",
            "telephone_number": "407-770-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 S. CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328191252",
            "telephone_number": "407-770-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 E Silver Star Rd",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347612553",
            "country_code": "US",
            "telephone_number": "407-770-1414",
            "fax_number": "407-447-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1171 Cliff Rose Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327082808",
            "country_code": "US",
            "telephone_number": "407-770-1414",
            "fax_number": "407-447-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWING TOGETHER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "MCHAFFIE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-770-1414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008603700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.