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DAVID H. CHEATHAM, M.D.,P.C.
NPI 1043495963
Clinic/Center - Primary Care in Waycross, GA

Active since January 09, 2008CLIA 11D0961655 · Waiver
801 BEACON ST, WAYCROSS, GA 31501(912) 285-2440(912) 287-0197 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David H. Cheatham, M.d.,p.c. NPPES

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

DAVID H. CHEATHAM, M.D.,P.C. (NPI 1043495963) is a healthcare organization registered as a primary care in Waycross, Georgia and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Kitty Cheatham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1043495963
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBEACON PEDIATRICS
Location Address801 BEACON STWaycross, GA 31501-7109
Mailing Address801 Beacon StWaycross, GA 31501-7109 · (912) 285-2440 · Fax (912) 287-0197
Phone(912) 285-2440
Fax(912) 287-0197
Organization SubpartNo
Authorized OfficialKitty CheathamOffice Manager · (912) 285-2440
Enumeration DateJanuary 9, 2008
Last NPPES UpdateJuly 31, 2013
✔ NPI 1043495963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 045745
801 BEACON ST, Waycross, GA 31501
Open in Google Maps ↗

Other Names 1

Doing Business AsDavid H. Cheatham, M.d.,p.c.

Other Identifiers 1

Medicaid000797024DGA

CLIA Laboratory Certificates CMS CLIA

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 11D0961655

David H Cheatham MD · Waycross, GA
Active · expires Jun 13, 2027
CLIA Number11D0961655
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDavid H. Cheatham
Laboratory Phone(912) 285-2440
Laboratory LocationDavid H Cheatham MD801 Beacon Street, Waycross, GA 31501
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DAVID H CHEATHAM MD
Pediatrics
801 BEACON ST
WAYCROSS, GA 31501
Ware County (912) 285-2440

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 Beacon Pediatrics's NPI number?

The NPI number for Beacon Pediatrics is 1043495963. It was assigned to this organization in the NPPES registry on January 9, 2008. The provider is doing business as David H. Cheatham, M.D.,p.C..

Where is Beacon Pediatrics located?

Beacon Pediatrics is located at 801 Beacon St, Waycross, GA 31501. The listed phone number is (912) 285-2440.

What is Beacon Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Beacon Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0961655) is associated with this NPI, valid through June 13, 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 Beacon Pediatrics was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.