NPIMap

Organization Active NPI

Nelson T. Madrazo

Doing business as Sumter Pediatrics

  • Pediatric Nurse Practitioner
  • Montezuma, GA
National Provider Identifier
1760534770
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
NELSON T. MADRAZO
Doing business as
Sumter Pediatrics
Practice address
105 Walnut St
Montezuma, GA 31063-1902
Phone
(478) 472-4633
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nelson Madrazo, M.D.NPI 1295773687
Title
Owner
Phone
(229) 924-8082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

105 Walnut St
Montezuma, GA 31063-1902

Mailing address

103 Ga Highway 27 E
Americus, GA 31709-3800

Other names 1

  • SUMTER PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1046156Sumter Pediatrics Montezuma105 Walnut Street, Montezuma, GA 31063Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nelson T Madrazo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

151 GA Highway 27 E
Americus, GA 31709
Phone (229) 924-8082

105 Walnut St
Montezuma, GA 31063
Phone (478) 472-4633

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760534770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GA HIGHWAY 27 E",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WALNUT ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631902",
            "telephone_number": "478-472-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON T. MADRAZO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MADRAZO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-924-8082",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMTER PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.