SUMTER PEDIATRICS LLC (NPI# 1144400664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144400664 |
| Entity Type | Organization |
| Organization Name | SUMTER PEDIATRICS LLC |
| Practice Address |
103 Ga Highway 27 E Americus GA 31709-3800 |
| Practice Telephone | 2299248082 |
| Mailing Telephone | 2299248082 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | DR. NELSON T MADRAZO (MANAGING MEMBER) |
| Authorized Official Telephone | 2299248082 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | 004223 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 219934685A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033502299 | Sumter Pediatrics LLC | Clinic/Center | 340 Us Highway 19 S, Leesburg, GA 31763-4872 | 2015-03-12 |
| Street Address |
103 GA HIGHWAY 27 E |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773687 | Nelson Tan Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2006-06-04 |
| 1457905168 | Lekha Udharam Adiani | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2019-07-31 |
| 1114474673 | Trent Joseph Peachey | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2016-09-01 |
| 1245680487 | Gail Miranda Ricker | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2016-06-19 |
| 1700251303 | Aldrany Peak | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2015-12-08 |
| 1841547924 | Grace Madrazo Tan | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2012-08-08 |
| 1689945644 | Leah D Webb | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2012-01-23 |
| 1982756987 | Nelson T. Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| 1811040629 | Antonio Garcia Remollino | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396995064 | Quaison Trentus Dey | Pediatrics | 609 E Lamar St, Americus, GA 31709-3737 | 2008-09-30 |
| 1295773687 | Nelson Tan Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2006-06-04 |
| 1922059252 | Andrew Charles Carlson | Pediatrics | 116 W Church St, Americus, GA 31709-3508 | 2006-05-12 |
| 1992761647 | Yueh-ying Cheng | Pediatrics | 319 S Lee St, Americus, GA 31709-3915 | 2006-04-21 |
| 1790752228 | Madelaine Odette Santos-vega | Pediatrics | 609 East Lamar Street, Americus, GA 31709-3737 | 2006-03-02 |
| 1497174239 | Charles Alonzo Peters Jr. | Pediatrics | 609 E Lamar St, Americus, GA 31709-3737 | 2014-04-09 |
| 1083947444 | Zulfiqar Ali | Pediatrics | 609 E Lamar St, Americus, GA 31709-3737 | 2009-09-16 |
| 1407989767 | Americus Pediatrics PC | Pediatrics | 116 W Church St, Americus, GA 31709-3508 | 2007-03-14 |
| 1982756987 | Nelson T. Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| 1811040629 | Antonio Garcia Remollino | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| Find all providers in AMERICUS | ||||
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| 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.