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ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
NPI 1053684936
Pediatrics - Adolescent Medicine in Thomaston, GA

Active since February 22, 2012CLIA Certified · 3 labs
210 HANNAHS MILL RD, THOMASTON, GA 30286(706) 938-0990 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zoe Center For Pediatric & Adolescent Health, Llc NPPES

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

ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC (NPI 1053684936) is a healthcare organization registered as an adolescent medicine in Thomaston, Georgia and active in the NPI registry since February 2012. The organization holds 3 active CLIA laboratory certificates and lists Stephanie Kong, Owner, as its authorized official.

NPPES Registry Identity

NPI1053684936
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
Location Address210 HANNAHS MILL RDThomaston, GA 30286-2801
Mailing Address959 17th St Ste BColumbus, GA 31901-1984 · (706) 507-9127
Phone(706) 938-0990
Organization SubpartNo
Authorized OfficialStephanie KongOwner · (706) 938-0990
Enumeration DateFebruary 22, 2012
Last NPPES UpdateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1053684936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in GA · 39388
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
210 HANNAHS MILL RD, Thomaston, GA 30286
Open in Google Maps ↗

Other Identifiers 1

Medicaid003122332AGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 11D2045457

Zoe Center For Pediatric & Adolescent Health, LLC · Thomaston, GA
Active · expires Aug 13, 2026
CLIA Number11D2045457
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorDr. Stephanie H. Kong
Laboratory Phone(706) 938-0990
Laboratory LocationZoe Center For Pediatric & Adolescent Health, LLC210 Hannahs Mill Road, Thomaston, GA 30286
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2112443

Zoe Center For Pediatric & Adolescent Health, LLC · Columbus, GA
Active · expires Apr 28, 2028
CLIA Number11D2112443
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorStephanie H. Kong
Laboratory Phone(706) 938-0990
Laboratory LocationZoe Center For Pediatric & Adolescent Health, LLC3031 Williams Rd, Columbus, GA 31909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2075869

Zoe Center For Pediatric & Adolescent Health, LLC · Columbus, GA
Active · expires Apr 7, 2028
CLIA Number11D2075869
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorStephanie H. Kong
Laboratory Phone(706) 641-2482
Laboratory LocationZoe Center For Pediatric & Adolescent Health, LLC1110 13th Street,, Columbus, GA 31901
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2264716

Zoe Center For Pediatric And Adolescent Health, LLC · Jacksonville, FL
Expired · Jul 18, 2026
CLIA Number10D2264716
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2024
Certificate Expiration DateJuly 18, 2026
Laboratory DirectorValerie G. Leach
Laboratory Phone(706) 507-9127
Laboratory LocationZoe Center For Pediatric And Adolescent Health, LLC3872 San Jose Park Drive, Jacksonville, FL 32217
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JEREMIAH A D'ANNUNZIO PNP
Pediatrics
210 HANNAHS MILL RD
THOMASTON, GA 30286
Upson County (706) 938-0990
STEPHANIE H KONG M.D.
Pediatrics
210 HANNAHS MILL RD
THOMASTON, GA 30286
Upson County (706) 938-0990
MISS JODY LYNN DOLAN APRN, PNP-PC
Pediatrics
210 HANNAHS MILL RD
THOMASTON, GA 30286
Upson County (706) 938-0990
DR. JACQUELINE MOYERMAN PH.D.
Psychologist (Clinical)
210 HANNAHS MILL RD
THOMASTON, GA 30286
Upson County (706) 646-4543

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 Zoe Center For Pediatric & Adolescent Health, LLC's NPI number?

The NPI number for Zoe Center For Pediatric & Adolescent Health, LLC is 1053684936. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Zoe Center For Pediatric & Adolescent Health, LLC located?

Zoe Center For Pediatric & Adolescent Health, LLC is located at 210 Hannahs Mill Rd, Thomaston, GA 30286. The listed phone number is (706) 938-0990.

What is Zoe Center For Pediatric & Adolescent Health, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Zoe Center For Pediatric & Adolescent Health, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Zoe Center For Pediatric & Adolescent Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Zoe Center For Pediatric & Adolescent Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zoe Center For Pediatric & Adolescent Health, LLC was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.