PEDIATRIC & ADOLESCENT CLINIC, LLC
NPI 1225111594
Pediatrics in Valdosta, GA

NPI Status: Active since October 23, 2006

Contact Information

2501 N PATTERSON ST
VALDOSTA, GA
ZIP 31602
Phone: (229) 259-4905

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  • Organization
  • Pediatrics

About PEDIATRIC & ADOLESCENT CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Pediatric & Adolescent Clinic, Llc, a pediatrician established in Valdosta, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1225111594 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kimberly Megow Md (President)

NPI
1225111594
Provider Name
PEDIATRIC & ADOLESCENT CLINIC, LLC
Entity Type
Organization
Location Address
2501 N PATTERSON ST VALDOSTA, GA 31602
Location Phone
(229) 259-4905
Mailing Address
PO BOX 1666 VALDOSTA, GA 31603
Mailing Phone
(229) 259-4905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
07-21-2022
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A pediatrician like Pediatric & Adolescent Clinic, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY MEGOW MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(229) 259-4905

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225111594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245212518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 2 + 1 + 2 + 5 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1225111594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578566964 JOHN WILLIAM DEVINE MD
Individual
Radiology (Therapeutic Radiology)2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4602
1023005121DR. FELIX G VALDEZ MD
Individual
Internal Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4501
1568439545 WILEY LADON DRURY M.D.
Individual
Anesthesiology2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 244-6852
1215905716 RICHARD CHARLES FEESE M.D.
Individual
Anesthesiology2501 N PATTERSON ST SGMC
VALDOSTA, GA 31602
(229) 244-6852
1437127842 SHARON D COLVIN MD
Individual
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1962470385 JONATHAN R PARROTT MD
Individual
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1437127875 KEVIN LEE KENWORTHY M.D.
Individual
Anesthesiology2501 N PATTERSON ST SGMC
VALDOSTA, GA 31602
(229) 244-6852
1548238736 GREGORY M BEACH PA
Individual
Physician Assistant2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1184692378 RICHARD A AMBROZIC MD
Individual
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1215906326 JOEL QUINONES MD
Individual
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1659340768 ROBERT GRANT HOLLENBECK M.D.
Individual
Anesthesiology2501 N PATTERSON ST SGMC
VALDOSTA, GA 31602
(229) 244-6852
1538138672 BRYAN SHIVER PA
Individual
Physician Assistant2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1194785170EMERGENCY MEDICINE SOUTH LLC
Organization
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1811934672MS. PEGGY ANN NORRIS RD
Individual
Dietitian, Registered2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4997
1760422497MRS. SARAH L. JACKSON RD., LDN.
Individual
Nutritionist (Nutrition, Education)2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4998
1134160278MS. BARBARA P LANE R.D.
Individual
Dietitian, Registered2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4997
1184667040 JEFFREY COHAN DO
Individual
Emergency Medicine2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 333-1000
1992733471MRS. BETTY V ROBERTS LPC
Individual
Counselor (Professional)2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4139
1154359644MRS. KATHERINE M SOMMER RD
Individual
Dietitian, Registered2501 N PATTERSON ST
VALDOSTA, GA 31602
(229) 259-4139
1548285703DR. SAMUEL N. OFORI M.D
Individual
Internal Medicine (Medical Oncology)2501 N PATTERSON ST SOUTH GEORGIA MEDICAL CENTER
VALDOSTA, GA 31602
(229) 259-4689

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225111594, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 2501 N Patterson St Valdosta, Ga 31602 and the phone number is (229) 259-4905

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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