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LITTLE LEGENDS PEDIATRICS LLC
NPI 1265203384
Pediatrics in Mount Gilead, OH

Active since January 09, 2024CLIA 36D2296593 · Waiver
169 W HIGH ST, MOUNT GILEAD, OH 43338(419) 751-7050(740) 513-4628 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Little Legends Pediatrics Llc NPPES

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

LITTLE LEGENDS PEDIATRICS LLC (NPI 1265203384) is a healthcare organization registered as a pediatrics in Mount Gilead, Ohio and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Martie J Gravitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1265203384
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLITTLE LEGENDS PEDIATRICS LLC
Location Address169 W HIGH STMount Gilead, OH 43338-1214
Mailing Address169 W High StMount Gilead, OH 43338-1214 · (419) 751-7050 · Fax (740) 513-4628
Phone(419) 751-7050
Fax(740) 513-4628
Organization SubpartNo
Authorized OfficialMartie J GravittOwner · (417) 699-8682
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1265203384 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.
169 W HIGH ST, Mount Gilead, OH 43338
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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 36D2296593

Little Legends Pediatrics, LLC · Mount Gilead, OH
Active · expires Jan 1, 2028
CLIA Number36D2296593
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorMartie J. Gravitt
Laboratory Phone(419) 751-7050
Laboratory LocationLittle Legends Pediatrics, LLC169 W High St, Mount Gilead, OH 43338
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. MARTIE JOHN GRAVITT M.D.
Pediatrics
169 W HIGH ST
MOUNT GILEAD, OH 43338
Morrow County (419) 751-7050

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 Little Legends Pediatrics LLC's NPI number?

The NPI number for Little Legends Pediatrics LLC is 1265203384. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Little Legends Pediatrics LLC located?

Little Legends Pediatrics LLC is located at 169 W High St, Mount Gilead, OH 43338. The listed phone number is (419) 751-7050.

What is Little Legends Pediatrics LLC's specialty?

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

Does Little Legends Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2296593) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Legends Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Little Legends Pediatrics LLC 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 Little Legends Pediatrics LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.