CHILDRENS MEDICAL CENTER
NPI 1154485415
Specialist in Omega, GA

Active since December 21, 2006
5488 N ALABAMA AVE, OMEGA, GA 31775(229) 528-4546(229) 528-4841 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Childrens Medical Center NPPES

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

CHILDRENS MEDICAL CENTER (NPI 1154485415) is a healthcare organization registered as a specialist in Omega, Georgia and active in the NPI registry since December 2006. The organization lists Clyde Granville Simmons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154485415
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHILDRENS MEDICAL CENTER
Location Address5488 N ALABAMA AVEOmega, GA 31775-3054
Mailing AddressPo Box 7627Tifton, GA 31793-7627 · (229) 396-5830 · Fax (229) 391-3686
Fax(229) 528-4841
Organization SubpartNo
Authorized OfficialClyde Granville SimmonsCeo · (229) 528-4546
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 26, 2013
NPI 1154485415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5488 N ALABAMA AVE, Omega, GA 31775

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
5488 N ALABAMA AVE
OMEGA, GA 31775
Specialist
5488 N ALABAMA AVE
OMEGA, GA 31775

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 Childrens Medical Center's NPI number?

The NPI number for Childrens Medical Center is 1154485415. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Childrens Medical Center located?

Childrens Medical Center is located at 5488 N Alabama Ave, Omega, GA 31775. The listed phone number is (229) 528-4546.

What is Childrens Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Childrens Medical Center was last updated on March 26, 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.