MIDDLE GEORGIA PEDIATRICS


Address: 1508 Hardeman Ave Ste B, Macon, GA 31201-1471
Phone: 4787417371

MIDDLE GEORGIA PEDIATRICS (NPI# 1073885828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073885828
Entity Type Organization
Organization Name MIDDLE GEORGIA PEDIATRICS
Practice Address 1508 Hardeman Ave Ste B
Macon
GA 31201-1471
Practice Telephone 4787417371
Practice Fax Number 4787417372
Mailing Telephone 4787417371
Mailing Fax Number 4787417372
Enumeration Date 2012-02-08
Last Update Date 2012-02-08
Authorized Official Name DR. STANLEY SETH BUSH (PROPRIETOR)
Authorized Official Telephone 4787417371
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
048846 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000872737B 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982865408 Middle Georgia Pediatrics Early Intervention Provider Agency 4149 Arkwright Rd, Suite D, Macon, GA 31210-1732 2008-06-18

Office Location

Street Address 1508 HARDEMAN AVE STE B
City MACON
State GA
Zip Code 31201-1471

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598232944 Northside Pediatrics PC Pediatrics 3888 Northside Dr, Macon, GA 31210-2417 2018-10-24
1386912319 Central Georgia Pediatrics, Inc. Pediatrics 844 2nd St, Macon, GA 31201-6885 2011-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427616515 Pedsnow LLC Pediatrics 863 W Oglethorpe Hwy Ste 220, Hinesville, GA 31313-4491 2019-06-03
1003184409 Greer Gadsden Larned, M.d., P.C., Faap Pediatrics 3802 Waters Ave, Savannah, GA 31404-6210 2011-12-13
1427333095 Dahlonega Pediatric and Adolescent Medicine Pediatrics 1055 North Grove St., Dahlonega, GA 30533 2011-10-14
1770710824 Children's Medicine of Rockdale Pediatrics 1765 Parker Rd Se, Suite B210, Conyers, GA 30094-6652 2009-06-16
1518110451 Pedia Doc Children's Med Ctr Pediatrics 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 2008-10-23
1396929444 Total Grace Pediatrics P.C. Pediatrics 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 2007-12-26
1306060801 Crystal M Edds Pediatrics 125b Victory Dr, Swainsboro, GA 30401-3234 2007-04-13
1962523639 William P Bristol Pediatrics 3300 Fourth Street, Brunswick, GA 31520-3779 2007-04-02
1861527103 Florida Selga Basilio Pediatrics 1519 13th Ave, Columbus, GA 31901-1908 2007-02-23
1609902956 Florida Basilio Md, PC Pediatrics 2039 Warm Springs Rd, Columbus, GA 31904-7931 2007-02-23
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Competitor

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City MACON
Zip Code 31201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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