The Pediatric Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE PEDIATRIC CENTER LLC

Practice address

509 Gordon Ave
Thomasville, GA 31792-6645

Phone

(229) 226-7544

Fax

(229) 226-0314

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Cone

Title

RN,Office Manager

Phone

(229) 226-7544

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 18

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.

• Kaley Adams, PNP

  • Pediatric Nurse Practitioner
  • Moultrie, GA
  • NPI 1629614060
  NPD (past)
• Sarah Hardy Bouck, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1205361219
  NPD (past)
• Amy A Cooper, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1235106048
  NPD (past)
• Holly M Crowley, MD

  • Neurology Physician
  • Thomasville, GA
  • NPI 1629045398
  NPD (past)
• Emily Dorsey Drew, DNP, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Marietta, GA
  • NPI 1427539741
  NPD (past)
• Stephanie S Fennell, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1154398865
  NPD (past)
• Enrique J. Fernandez, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Brunswick, GA
  • NPI 1912978065
  NPD (past)
• Jose M Grave de Peralta, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1033186838
  NPD (past)
• Martha Hanna, NP

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1790178564
  NPD (past)
• Stacey W Johnson, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1376511667
  NPD (past)
• Timothy A Jones, MD

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1023085420
  NPD (past)
• Salli Chism Lehman, M.D.

  • Pediatrics Physician
  • Thomasville, GA
  • NPI 1265635254
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760602783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926645",
            "telephone_number": "229-226-7544",
            "fax_number": "229-226-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926645",
            "telephone_number": "229-226-7544",
            "fax_number": "229-226-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "RN,OFFICE MANAGER",
        "authorized_official_telephone_number": "229-226-7544"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachariah Terry, R.PH.
• The Counseling Healing Center
• The Disciples of Jesus House of Prayer & Deliverance (Disciples of Jesus Ministries Inc.)
• The Homeplace Shelter Inc. (Mildred's HomePlace III)
• The Homeplace Shelter Inc. (mildred's homeplace lll)
• The Urology Institute Ambulatory Surgery Center
• The Urology Institute and Continence Center,PC
• The Vashti Center, Inc.
• Therapyplus Rehab Services, LLC (Therapy Plus)
• Thomas County Board of Health

• Primary Care Clinic/Center in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Primary Care Clinic/Center in Georgia

• 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.
• 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.