Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CAITLIN LAZURICK GANN DO
NPI 1396435756
Pediatrics in Saint Marys, GA

Active since May 09, 2023
2040 DAN PROCTOR DR STE 140, SAINT MARYS, GA 31558(912) 576-6200(912) 882-6411 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2026, Jun 24, 2023, May 9, 2023 (3 updates tracked since 2023).

About Caitlin Lazurick Gann Do NPPES

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

CAITLIN LAZURICK GANN DO (NPI 1396435756) is an individual pediatrics provider in Saint Marys, Georgia, licensed in Georgia (113304) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1396435756
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAITLIN LAZURICK GANNCredential: DO
Location Address2040 DAN PROCTOR DR STE 140Saint Marys, GA 31558-3812
Mailing Address2040 Dan Proctor Dr Ste 140Saint Marys, GA 31558-3812
Fax(912) 882-6411
Sole ProprietorNo
Enumeration DateMay 9, 2023
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1396435756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 113304
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.

2040 DAN PROCTOR DR STE 140, Saint Marys, GA 31558

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
2040 DAN PROCTOR DR STE 140
SAINT MARYS, GA 31558
Nurse Practitioner (Pediatrics)
2040 DAN PROCTOR DR STE 140
SAINT MARYS, GA 31558
Pediatrics
2040 DAN PROCTOR DR STE 140
SAINT MARYS, GA 31558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396435756, enumerated as an "individual" on May 09, 2023.

The provider is located at 2040 DAN PROCTOR DR STE 140 SAINT MARYS, GA 31558 and the phone number is (912) 576-6200.

Pediatrics with taxonomy code 208000000X.