JEFFERSON PEDIATRICS, INC.
NPI 1336411347
Clinic/Center - Primary Care in Jefferson, GA
About Jefferson Pediatrics, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON PEDIATRICS, INC. (NPI 1336411347) is a healthcare organization registered as a primary care in Jefferson, Georgia and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through May 25, 2027 and lists Tammy Gail Smith, Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 11D0954160
Jefferson Pediatrics Inc Pediatric And Adolescent Medicine · Jefferson, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jefferson Pediatrics, Inc.'s NPI number?
The NPI number for Jefferson Pediatrics, Inc. is 1336411347. It was assigned to this organization in the NPPES registry on February 7, 2012.
Where is Jefferson Pediatrics, Inc. located?
Jefferson Pediatrics, Inc. is located at 2610 Highway 129 N, Jefferson, GA 30549. The listed phone number is (706) 367-1010.
What is Jefferson Pediatrics, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Jefferson Pediatrics, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D0954160) is associated with this NPI, valid through May 25, 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 Jefferson Pediatrics, Inc. was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jefferson Pediatrics, Inc. · NPI 1336411347
Primary Care organization in Jefferson, Georgia. Organization record, active in the CMS NPPES registry since February 7, 2012.
## Identity
- **NPI:** 1336411347 (Entity type: Organization)
- **Enumerated:** February 7, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tammy Smith, OFFICER
## Practice location
- **Address:** 2610 HIGHWAY 129 N, Jefferson, GA 30549-2652
- **Phone:** (706) 367-1010
## Record status
- **NPPES last updated:** February 7, 2012
- **Other identifiers:** Other 10055116 (GA); Medicaid 00608253H (GA); Other 309153 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336411347) · Data from the CMS NPPES public registry.