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EASTMAN PEDIATRIC CLINIC
NPI 1104034511
Pediatrics in Eastman, GA

Active since May 18, 2007CLIA 11D0685804 · Certificate of Compliance
1223 PLAZA AVE, EASTMAN, GA 31023(478) 374-3814(478) 374-1478 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastman Pediatric Clinic NPPES

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

EASTMAN PEDIATRIC CLINIC (NPI 1104034511) is a healthcare organization registered as a pediatrics in Eastman, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Johnny R Peeples, President-owner, as its authorized official.

NPPES Registry Identity

NPI1104034511
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTMAN PEDIATRIC CLINIC
Location Address1223 PLAZA AVEEastman, GA 31023-6763
Mailing Address1223 Plaza AveEastman, GA 31023-6763 · (478) 374-3814 · Fax (478) 374-1478
Phone(478) 374-3814
Fax(478) 374-1478
Organization SubpartNo
Authorized OfficialJohnny R PeeplesPresident-owner · (478) 374-3814
Enumeration DateMay 18, 2007
Last NPPES UpdateSeptember 19, 2007
✔ NPI 1104034511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1223 PLAZA AVE, Eastman, GA 31023
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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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D0685804

Eastman Pediatric Clinic · Eastman, GA
Active · expires Nov 30, 2026
CLIA Number11D0685804
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJohn R. Peeples MD
Laboratory Phone(478) 374-3814
Laboratory LocationEastman Pediatric Clinic1223 Plaza Ave, Eastman, GA 31023
CLIA data matches this NPI record on: Address Name Phone
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 5

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

ASHLEY NICHOLE BUTLER
Nurse Practitioner (Family)
1223 PLAZA AVE
EASTMAN, GA 31023
Dodge County (478) 374-3814
JOHNNY R PEEPLES MD
Pediatrics
1223 PLAZA AVE
EASTMAN, GA 31023
Dodge County (478) 374-3814
BRITTANY CHANDLER LORD MD
Pediatrics
1223 PLAZA AVE
EASTMAN, GA 31023
Dodge County (478) 374-3814
AUBRI RUSH CRANFORD FNP-C
Nurse Practitioner (Family)
1223 PLAZA AVE
EASTMAN, GA 31023
Dodge County (478) 374-3814
AMANDA LLYN PARKERSON FNP-C
Nurse Practitioner (Family)
1223 PLAZA AVE
EASTMAN, GA 31023
Dodge County (478) 374-1478

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 Eastman Pediatric Clinic's NPI number?

The NPI number for Eastman Pediatric Clinic is 1104034511. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Eastman Pediatric Clinic located?

Eastman Pediatric Clinic is located at 1223 Plaza Ave, Eastman, GA 31023. The listed phone number is (478) 374-3814.

What is Eastman Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Eastman Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0685804) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastman Pediatric Clinic accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Eastman Pediatric Clinic 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 Eastman Pediatric Clinic was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.