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ERICKA RUSSELL-PETTY
NPI 1215483128
Clinic/Center - Health Service in Savannah, GA

Active since August 30, 2016CLIA 11D2059750 · Certificate of Compliance
3710 WATERS AVE, SAVANNAH, GA 31404(921) 777-5490(912) 777-5491 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ericka Russell-petty NPPES

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

ERICKA RUSSELL-PETTY (NPI 1215483128) is a healthcare organization registered as a health service in Savannah, Georgia and active in the NPI registry since August 2016. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2027 and lists Ericka Russell-petty, Physiciann, as its authorized official.

NPPES Registry Identity

NPI1215483128
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePEDS HEALTH
Location Address3710 WATERS AVESavannah, GA 31404-6209
Mailing Address5710 Ogeechee Rd, Ste 200 Box 283Savannah, GA 31405-9515 · (912) 777-5490 · Fax (912) 777-5471
Phone(921) 777-5490
Fax(912) 777-5491
Organization SubpartNo
Authorized OfficialEricka Russell-pettyPhysiciann · (912) 777-5490
Enumeration DateAugust 30, 2016
✔ NPI 1215483128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in GA · 047258
3710 WATERS AVE, Savannah, GA 31404
Open in Google Maps ↗

Other Names 1

Doing Business AsEricka Russell-petty

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 11D2059750

Peds Health · Savannah, GA
Active · expires Feb 4, 2027
CLIA Number11D2059750
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorEricka M. Russell-Petty
Laboratory Phone(912) 777-5490
Laboratory LocationPeds Health361 Commercial Drive, Suite B, Savannah, GA 31406
CLIA data matches this NPI record on: 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

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

DR. ERICKA M. RUSSELL PETTY M.D.
Pediatrics
3710 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 777-5490

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 Peds Health's NPI number?

The NPI number for Peds Health is 1215483128. It was assigned to this organization in the NPPES registry on August 30, 2016. The provider is doing business as Ericka Russell-Petty.

Where is Peds Health located?

Peds Health is located at 3710 Waters Ave, Savannah, GA 31404. The listed phone number is (921) 777-5490.

What is Peds Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Peds Health hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2059750) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peds Health was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.