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MIDDLE GEORGIA PEDIATRICS
NPI 1073885828
Pediatrics - Adolescent Medicine in Macon, GA

Active since February 08, 2012CLIA 11D0978199 · Certificate of Compliance
1508 HARDEMAN AVE STE B, MACON, GA 31201(478) 741-7371(478) 741-7372 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Middle Georgia Pediatrics NPPES

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

MIDDLE GEORGIA PEDIATRICS (NPI 1073885828) is a healthcare organization registered as an adolescent medicine in Macon, Georgia and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists Stanley Seth Bush, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1073885828
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMIDDLE GEORGIA PEDIATRICS
Location Address1508 HARDEMAN AVE STE BMacon, GA 31201-1471
Mailing Address1508 Hardeman Ave Ste BMacon, GA 31201-1471 · (478) 741-7371 · Fax (478) 741-7372
Phone(478) 741-7371
Fax(478) 741-7372
Organization SubpartNo
Authorized OfficialStanley Seth BushProprietor · (478) 741-7371
Enumeration DateFebruary 8, 2012
✔ NPI 1073885828 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 · 048846
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.
1508 HARDEMAN AVE STE B, Macon, GA 31201
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Other Identifiers 2

Medicare PIN1578500591GA
Medicaid000872737BGA

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

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 Compliance 11D0978199

Middle Georgia Pediatrics LLC · Macon, GA
Active · expires Jan 23, 2027
CLIA Number11D0978199
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorSeth Bush
Laboratory Phone(478) 741-7337
Laboratory LocationMiddle Georgia Pediatrics LLC1508 B Hardeman Avenue, Attn Michelle Kelly, Macon, GA 31201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

JENNIFER JOHNSON SLADE CPNP-PC
Nurse Practitioner (Pediatrics)
1508 HARDEMAN AVE STE B
MACON, GA 31201
Bibb County (478) 741-7337

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 Middle Georgia Pediatrics's NPI number?

The NPI number for Middle Georgia Pediatrics is 1073885828. It was assigned to this organization in the NPPES registry on February 8, 2012.

Where is Middle Georgia Pediatrics located?

Middle Georgia Pediatrics is located at 1508 Hardeman Ave Ste B, Macon, GA 31201. The listed phone number is (478) 741-7371.

What is Middle Georgia Pediatrics's specialty?

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

Does Middle Georgia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0978199) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Middle Georgia Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Middle Georgia Pediatrics 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 Middle Georgia Pediatrics was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.