Middle Georgia Pediatrics

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MIDDLE GEORGIA PEDIATRICS

Practice address

4149 Arkwright Rd
Suite D
Macon, GA 31210-1732

Phone

(478) 731-3677

Fax

(478) 405-0363

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lesley Epps Hodgin, EDD, CCC-SLP

Title

Office Manager

Phone

(478) 731-3677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Goolsby Lee, MED, CCC-SLP

  • Speech-Language Pathologist
  • Macon, GA
  • NPI 1679907497
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1982865408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "DRY BRANCH",
            "state": "GA",
            "postal_code": "310200010",
            "telephone_number": "478-731-3677",
            "fax_number": "478-405-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 ARKWRIGHT RD",
            "address_2": "SUITE D",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101732",
            "telephone_number": "478-731-3677",
            "fax_number": "478-405-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "HODGIN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "EPPS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-731-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Heart and Vascular Center, LLC
• Middle Georgia Heart Rhythm Specialists, LLC
• Middle Georgia Internal Medicine & Kidney Diseases
• Middle Georgia Life Care Inc.
• Middle Georgia Pediatrics
• Middle Georgia Regional Commission
• Middle Georgia Sleep & Wellness Center LLC
• Middle Georgia Wound Solutions LLC
• Middle Moodycare Inc
• Nadia Tazion Middlebrooks

• Early Intervention Provider Agency in Macon, GA
• Providers in Macon, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.