SUMTER PEDIATRICS
NPI 1033502299
Clinic/Center - Primary Care in Leesburg, GA
About Sumter Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMTER PEDIATRICS (NPI 1033502299) is a healthcare organization registered as a primary care in Leesburg, Georgia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Nelson Madrazo, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2092475
Sumter Pediatrics LLC · Leesburg, GACertificate of Waiver 11D2189491
Sumter Pediatrics LLC · Americus, GAFrequently 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 Sumter Pediatrics LLC's NPI number?
The NPI number for Sumter Pediatrics LLC is 1033502299. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as Sumter Pediatrics.
Where is Sumter Pediatrics LLC located?
Sumter Pediatrics LLC is located at 340 Us Highway 19 S, Leesburg, GA 31763. The listed phone number is (229) 814-1174.
What is Sumter Pediatrics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Sumter Pediatrics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2092475) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sumter Pediatrics LLC was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sumter Pediatrics · NPI 1033502299
Primary Care organization in Leesburg, Georgia. Organization record, active in the CMS NPPES registry since March 12, 2015.
## Identity
- **NPI:** 1033502299 (Entity type: Organization)
- **Enumerated:** March 12, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Sumter Pediatrics Llc
- **Organization subpart:** No
- **Authorized official:** Nelson Madrazo, MANAGING MEMBER
## Practice location
- **Address:** 340 US HIGHWAY 19 S, Leesburg, GA 31763-4872
- **Phone:** (229) 814-1174
## Record status
- **NPPES last updated:** April 20, 2016
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033502299) · Data from the CMS NPPES public registry.