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GEORGETOWN PEDIATRIC CENTER
NPI 1013334200
Clinic/Center - Rural Health in Georgetown, SC

Active since March 25, 2014
57 JESSAMINE AVE, GEORGETOWN, SC 29440(843) 546-8686(843) 546-1353 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgetown Pediatric Center NPPES

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

GEORGETOWN PEDIATRIC CENTER (NPI 1013334200) is a healthcare organization registered as a rural health in Georgetown, South Carolina and active in the NPI registry since March 2014. The organization lists Lee Ann Amann, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1013334200
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGEORGETOWN PEDIATRIC CENTER
Location Address57 JESSAMINE AVEGeorgetown, SC 29440-5837
Mailing AddressPo Box 618Georgetown, SC 29442-0618 · (843) 546-8686 · Fax (843) 546-1353
Phone(843) 546-8686
Fax(843) 546-1353
Organization SubpartNo
Authorized OfficialLee Ann AmannAdminstrator · (843) 546-8686
Enumeration DateMarch 25, 2014
✔ NPI 1013334200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
57 JESSAMINE AVE, Georgetown, SC 29440
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Other Identifiers 1

MedicaidQ84256SC

Other Providers at the Same Location NPPES 7

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

DR. MELANIE WHITMAN DO
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
DR. KAICEE PONDS RICHARDSON M.D.
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
ST. JAMES HEALTH AND WELLNESS INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 887-3274
GEORGETOWN PEDIATRIC CENTER, PC
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
MARICA GREEN FNP
Nurse Practitioner (Family)
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
ANNA NEWELL
Nurse Practitioner (Pediatrics)
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
DR. LILLIANNE MARIE LEWIS DEBNAM MD, MPH
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686

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 Georgetown Pediatric Center's NPI number?

The NPI number for Georgetown Pediatric Center is 1013334200. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Georgetown Pediatric Center located?

Georgetown Pediatric Center is located at 57 Jessamine Ave, Georgetown, SC 29440. The listed phone number is (843) 546-8686.

What is Georgetown Pediatric Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Georgetown Pediatric Center was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.