Tots to Teens Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TOTS TO TEENS MEDICAL CENTER

Doing business as

Tots To Teens Medical Ctr

Practice address

303 Harris Industrial Blvd.
Suite 1
Vidalia, GA 30474

Phone

(912) 537-9991

Fax

(912) 537-9975

NPI assigned

Dec 4, 2006

Last updated

Feb 9, 2009By 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

Ms. Jo E. Smith, CMM

Title

Practice Administrator

Phone

(912) 537-9991

Specialties & licenses 1

Addresses

Other names 1

• Tots To Teens Medical Ctr Doing business as

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 3

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.

• Callie Wilkes Hagan

  • Pediatrics Physician
  • Vidalia, GA
  • NPI 1639831548
  NPD (past)
• Kimberly Nichole Phillips, FNP-C

  • Family Nurse Practitioner
  • Vidalia, GA
  • NPI 1184456162
  NPD (past)
• Shayla Moore Sellers, FNP-C

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1225622392
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1982772182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30475",
            "telephone_number": "912-537-9991",
            "fax_number": "912-537-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HARRIS INDUSTRIAL BLVD.",
            "address_2": "SUITE 1",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9991",
            "fax_number": "912-537-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTS TO TEENS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-537-9991",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tots To Teens Medical Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Hammock Toler, FNP-C
• Toombs County Commissioners (Toombs County EMS)
• Toombs County Dental Clinic
• Total Renal Care Inc (Vidalia First Street Dialysis)
• Total Renal Care Inc (Nephrology Center of Vidalia)
• Transport America Ambulance Service LLC
• Tri-County Clinic of Chiropractic, LLC
• Heather Turner, DC
• Twi Counseling
• Twin Oaks

• Pediatrics Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.