RIDGE PEDIATRICS AND ADOLESCENT CENTER
NPI 1013114818
Specialist in Leesville, SC

Active since June 27, 2007
338 E COLUMBIA AVE, SUITE E, LEESVILLE, SC 29070(803) 532-2877(803) 532-5430 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ridge Pediatrics And Adolescent Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGE PEDIATRICS AND ADOLESCENT CENTER (NPI 1013114818) is a healthcare organization registered as a specialist in Leesville, South Carolina and active in the NPI registry since June 2007. The organization lists Linda Deloach, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013114818
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRIDGE PEDIATRICS AND ADOLESCENT CENTER
Location Address338 E COLUMBIA AVE, SUITE ELeesville, SC 29070-9285
Mailing Address338 E Columbia Ave, Suite ELeesville, SC 29070-9285 · (803) 532-2877 · Fax (803) 532-5430
Fax(803) 532-5430
Organization SubpartNo
Authorized OfficialLinda DeloachOffice Manager · (803) 532-2877
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1013114818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in SC · 12957
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
338 E COLUMBIA AVE, Leesville, SC 29070

Other Identifiers 1

MedicaidGP3903SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG-LEESVILLE, SC 29070
Clinic/Center (Federally Qualified Health Center (FQHC))
338 E COLUMBIA AVE, SUITE B
LEESVILLE, SC 29070
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Clinic/Center (Rural Health)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Nurse Practitioner (Family)
338 E COLUMBIA AVE
LEESVILLE, SC 29070
Family Medicine
338 E COLUMBIA AVE
BATESBURG-LEESVILLE, SC 29070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridge Pediatrics And Adolescent Center's NPI number?

The NPI number for Ridge Pediatrics And Adolescent Center is 1013114818. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Ridge Pediatrics And Adolescent Center located?

Ridge Pediatrics And Adolescent Center is located at 338 E Columbia Ave Suite E, Leesville, SC 29070. The listed phone number is (803) 532-2877.

What is Ridge Pediatrics And Adolescent Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ridge Pediatrics And Adolescent Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.