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AUGUSTA PEDIATRIC ASSOCIATES, P.C.
NPI 1275593790
Pediatrics - Adolescent Medicine in Augusta, GA

Active since March 27, 2006CLIA 11D0263137 · Waiver
1245 AUGUSTA WEST PKWY, AUGUSTA, GA 30909(706) 868-0389(706) 651-0729 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Augusta Pediatric Associates, P.c. NPPES

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

AUGUSTA PEDIATRIC ASSOCIATES, P.C. (NPI 1275593790) is a healthcare organization registered as an adolescent medicine in Augusta, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Jerry Miller, President, as its authorized official.

NPPES Registry Identity

NPI1275593790
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameAUGUSTA PEDIATRIC ASSOCIATES, P.C.
Location Address1245 AUGUSTA WEST PKWYAugusta, GA 30909-1807
Mailing Address1245 Augusta West PkwyAugusta, GA 30909-1807 · (706) 868-0389 · Fax (706) 651-0729
Phone(706) 868-0389
Fax(706) 651-0729
Organization SubpartNo
Authorized OfficialJerry MillerPresident · (706) 868-0389
Enumeration DateMarch 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275593790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1245 AUGUSTA WEST PKWY, Augusta, GA 30909
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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 BlueCross BlueShield of South Carolina.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 11D0263137

Augusta Pediatric Associates PC · Augusta, GA
Active · expires Jun 21, 2028
CLIA Number11D0263137
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorAaron Hanna
Laboratory Phone(706) 868-0389
Laboratory LocationAugusta Pediatric Associates PC1245 Augusta West Parkway, Augusta, GA 30909
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 9

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

AARON W HANNA M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
JENNIFER MASSEY M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
DR. MATTHEW ANTHONY THREADGILL M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
MISS BARBARA MILLER LEVERETT M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
STERLING C NEWTON JR. M.D.
Pediatrics (Adolescent Medicine)
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
JERRY ALLAN MILLER JR. M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
JENNIFER MOTE M.D.
Pediatrics
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389
ASPEN MUTIMER THOMPSON
Nurse Practitioner (Family)
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909
Richmond County (706) 868-0389

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 Augusta Pediatric Associates, P.C.'s NPI number?

The NPI number for Augusta Pediatric Associates, P.C. is 1275593790. It was assigned to this organization in the NPPES registry on March 27, 2006.

Where is Augusta Pediatric Associates, P.C. located?

Augusta Pediatric Associates, P.C. is located at 1245 Augusta West Pkwy, Augusta, GA 30909. The listed phone number is (706) 868-0389.

What is Augusta Pediatric Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Augusta Pediatric Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0263137) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Augusta Pediatric Associates, P.C. accept?

Health plans from BlueCross BlueShield of South Carolina list Augusta Pediatric Associates, 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 Augusta Pediatric Associates, 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 6 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.