DR. LARRY D. STEWART JR. (NPI# 1285689778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285689778 |
| Entity Type | Individual |
| Full Name | DR. LARRY D. STEWART JR. |
| Credential | MD |
| Practice Address |
1024 Keith Dr Perry GA 31069-2947 |
| Practice Telephone | 4789873445 |
| Practice Fax Number | 4789873102 |
| Mailing Telephone | 4789873445 |
| Mailing Fax Number | 4789873102 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 027123 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00326576G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755864 | Larry Roland Stewart | Dentist | 3713 W 15th St, Suite #403, Plano, TX 75075-7754 | 2006-03-24 |
| 1326020371 | Larry Don Stewart | Ophthalmology | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-11-16 |
| 1750378675 | Larry Paul Stewart | Ophthalmology | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-05 |
| 1831513415 | Larry Stewart II | Psychologist | 981 Rollins Ave, Rockville, MD 20852-5615 | 2014-02-18 |
| 1255311148 | Larry Stewart | Nurse Anesthetist, Certified Registered | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2006-01-18 |
| Street Address |
1024 KEITH DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114410974 | Cornerstone Medical Management LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2018-06-07 |
| 1770779886 | Cathy M Tedder | Nurse Practitioner | 1024 Keith Dr, Perry, GA 31069-2947 | 2007-09-21 |
| 1275575888 | Cornerstone Medical Assoc., LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| 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 |
|---|---|---|---|---|
| 1659329753 | Robert Stephen Wade | Pediatrics | 1118 Morningside Dr, Suite A, Perry, GA 31069-4948 | 2006-05-04 |
| 1205894425 | Ronald Emerick Jr. | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-05-04 |
| 1114410974 | Cornerstone Medical Management LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2018-06-07 |
| 1811290810 | Veera Venkata S Babu Paturi | Pediatrics | 315 E Ash St, 1, Perry, FL 32347-2029 | 2010-12-13 |
| 1669700811 | Venette Pierre | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-11-30 |
| 1376784702 | Little Pine Pediatrics, Pllc | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-03-16 |
| 1417046160 | Levette Nicole Dunbar | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-10-12 |
| 1275575888 | Cornerstone Medical Assoc., LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2006-06-11 |
| 1710977160 | Ray Tojino Bobila | Pediatrics | 315 E Ash St, Perry, FL 32347-2029 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
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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.