CHILD AND ADOLESCENT MEDICAL PROVIDERS, P.C.
NPI 1215093430
Pediatrics in Lavonia, GA

Q: What is Child And Adolescent Medical Providers, P.C.'s specialty?

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

Active since December 29, 2006CLIA 11D0993814 · Waiver

13375 JONES ST STE C, LAVONIA, GA 30553(706) 356-5439(706) 356-5897 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Child And Adolescent Medical Providers, P.c. NPPES

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

CHILD AND ADOLESCENT MEDICAL PROVIDERS, P.C. (NPI 1215093430) is a healthcare organization registered as a pediatrics in Lavonia, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists David C Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215093430

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHILD AND ADOLESCENT MEDICAL PROVIDERS, P.C.

Location Address13375 JONES ST STE CLavonia, GA 30553-1147

Mailing Address13375 Jones St Ste CLavonia, GA 30553-1147 · (706) 356-5439 · Fax (706) 356-5897

Phone(706) 356-5439

Fax(706) 356-5897

Organization SubpartNo

Authorized OfficialDavid C MartinCeo · (706) 356-5439

Enumeration DateDecember 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215093430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 047486

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.

13375 JONES ST STE C, Lavonia, GA 30553

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Other Identifiers 5

Medicaid00860219CGA

Medicaid10056443GA

Medicaid85002622GGA

Other52768660GA · Bcbs Pin#

Medicaid309143GA

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 Waiver 11D0993814

Child And Adolescent Medical Providers · Lavonia, GA

Active · expires Nov 26, 2027

CLIA Number11D0993814

Laboratory TypePhysician Office

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorDavid C. Martin

Laboratory Phone(706) 356-5439

Laboratory LocationChild And Adolescent Medical Providers13375 Jones Street, Suite C, Lavonia, GA 30553

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. DAVID C MARTIN M.D.

Pediatrics

13375 JONES ST STE C
LAVONIA, GA 30553

Franklin County (706) 356-5439

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 Child And Adolescent Medical Providers, P.C.'s NPI number?

The NPI number for Child And Adolescent Medical Providers, P.C. is 1215093430. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Child And Adolescent Medical Providers, P.C. located?

Child And Adolescent Medical Providers, P.C. is located at 13375 Jones St Ste C, Lavonia, GA 30553. The listed phone number is (706) 356-5439.

What is Child And Adolescent Medical Providers, P.C.'s specialty?

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

Does Child And Adolescent Medical Providers, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0993814) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Child And Adolescent Medical Providers, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Child And Adolescent Medical Providers, P.C. 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 Child And Adolescent Medical Providers, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.