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JESUP PEDIATRICS, P.C.
NPI 1316078538
Pediatrics in Jesup, GA

Active since March 08, 2007CLIA 11D2083108 · Waiver
176 MEMORIAL DR, JESUP, GA 31545(912) 427-9378(912) 427-9852 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Jesup Pediatrics, P.c. NPPES

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

JESUP PEDIATRICS, P.C. (NPI 1316078538) is a healthcare organization registered as a pediatrics in Jesup, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Platon J Collipp, President, as its authorized official.

NPPES Registry Identity

NPI1316078538
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJESUP PEDIATRICS, P.C.
Location Address176 MEMORIAL DRJesup, GA 31545-0101
Mailing Address176 Memorial DrJesup, GA 31545-0101 · (912) 427-9378 · Fax (912) 427-9852
Phone(912) 427-9378
Fax(912) 427-9852
Organization SubpartNo
Authorized OfficialPlaton J CollippPresident · (912) 427-9378
Enumeration DateMarch 8, 2007
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1316078538 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.
176 MEMORIAL DR, Jesup, GA 31545
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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 MULTIPLE 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 11D2083108

Jesup Pediatrics, PC · Jesup, GA
Active · expires Aug 27, 2026
CLIA Number11D2083108
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorDaniel B. Collipp
Laboratory Phone(912) 427-9378
Laboratory LocationJesup Pediatrics, PC176 Memorial Drive, Jesup, GA 31545
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 4

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

DANIEL B COLLIPP D.O.
Pediatrics
176 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-9378
KARA SCOTT NP
Nurse Practitioner (Family)
176 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-9378
PLATON J COLLIPP M.D.
Pediatrics (Pediatric Endocrinology)
176 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-9378
CUYLER CRIBBS
Nurse Practitioner (Family)
176 MEMORIAL DR
JESUP, GA 31545
Wayne County (912) 427-9378

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 Jesup Pediatrics, P.C.'s NPI number?

The NPI number for Jesup Pediatrics, P.C. is 1316078538. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Jesup Pediatrics, P.C. located?

Jesup Pediatrics, P.C. is located at 176 Memorial Dr, Jesup, GA 31545. The listed phone number is (912) 427-9378.

What is Jesup Pediatrics, P.C.'s specialty?

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

Does Jesup Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2083108) is associated with this NPI, valid through August 27, 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 Jesup Pediatrics, P.C. was last updated on May 27, 2021. 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.