CHILDREN'S HEALTHCARE CENTER, LLC
NPI 1174466577
Pediatrics in Sandersville, GA

Active since April 10, 2026CLIA 11D2117890 · Waiver
510 WASHINGTON AVE, SANDERSVILLE, GA 31082(478) 412-6522(478) 412-6521 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Healthcare Center, Llc NPPES

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

CHILDREN'S HEALTHCARE CENTER, LLC (NPI 1174466577) is a healthcare organization registered as a pediatrics in Sandersville, Georgia and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Christy M Mountain-bonner, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1174466577
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S HEALTHCARE CENTER, LLC
Location Address510 WASHINGTON AVESandersville, GA 31082-1971
Mailing Address510 Washington AveSandersville, GA 31082-1971 · (478) 412-6522 · Fax (478) 412-6521
Fax(478) 412-6521
Organization SubpartNo
Authorized OfficialChristy M Mountain-bonnerOwner/ceo · (678) 772-1259
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
NPI 1174466577 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.
510 WASHINGTON AVE, Sandersville, GA 31082

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

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 11D2117890

Children's Healthcare, LLC · Sandersville, GA
Active · expires Aug 24, 2026
CLIA Number11D2117890
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorChristy Mountain-Bonner
Laboratory Phone(478) 412-6522
Laboratory LocationChildren's Healthcare, LLC510 Washington Avenue, Sandersville, GA 31082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Children's Healthcare Center, LLC's NPI number?

The NPI number for Children's Healthcare Center, LLC is 1174466577. It was assigned to this organization in the NPPES registry on April 10, 2026.

Where is Children's Healthcare Center, LLC located?

Children's Healthcare Center, LLC is located at 510 Washington Ave, Sandersville, GA 31082. The listed phone number is (478) 412-6522.

What is Children's Healthcare Center, LLC's specialty?

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

Does Children's Healthcare Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2117890) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Children's Healthcare Center, LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.