Youthcare Pediatrics of Central Georgia, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

YOUTHCARE PEDIATRICS OF CENTRAL GEORGIA, PC

Practice address

233 N Houston Rd
Suite 140-H
Warner Robins, GA 31093-3074

Phone

(478) 923-3360

Fax

(478) 923-9977

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Robert Stephen Wade, MDNPI 1659329753

Title

Owner/Physician

Phone

(478) 923-3360

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Robert Stephen Wade, M.D.

  • Pediatrics Physician
  • Perry, GA
  • NPI 1659329753
  NPD (past) Authorized official
• Lindsay Andrews Griffin, CPNP-PC

  • Pediatric Nurse Practitioner
  • Warner Robins, GA
  • NPI 1821433459
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1922276252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "STE 140 H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-923-3360",
            "fax_number": "478-923-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "SUITE 140-H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-923-3360",
            "fax_number": "478-923-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHCARE PEDIATRICS OF CENTRAL GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-923-3360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000377836D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Young
• China Tatyanna Young
• Covolous Young
• Nakia Alexis Young, CPNP-PC
• Youth Development Corporation of America (Georgia SAFE)
• Youthcare,PC
• Sunday Oludare Yusuf, MD
• Lisa Fisher Zammit, PA-C
• Eric J. Zanghi, MD
• Wila Zanghi

• Pediatrics Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.