Active NPI
Efthimia Pavlou, M.D.
- Pediatrics Physician
- Brunswick, GA
National Provider Identifier
1659471209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 053900
- Practice address
- 3208 Shrine Rd
Brunswick, GA 31520-4325 - Phone
- (912) 265-2036
- Fax
- (912) 265-6779
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 053900 | GA | Primary |
Addresses
Primary practice location
3208 Shrine Rd
Brunswick, GA 31520-4325
Mailing address
3208 Shrine Rd
Brunswick, GA 31520-4325
Phone (912) 265-2036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053900 | Other | GA | GEORGIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053900 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Brunswick | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Brunswick, GA
- NPI 1942333588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1659471209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 SHRINE RD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204325",
"telephone_number": "912-265-2036",
"fax_number": "912-265-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 SHRINE RD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204325",
"telephone_number": "912-265-2036",
"fax_number": "912-265-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOU",
"first_name": "EFTHIMIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "053900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "053900",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.