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PEDIATRIC PARTNERS OF AUGUSTA, LLC
NPI 1417064924
Pediatrics in Evans, GA

Active since August 23, 2006CLIA Certified · 3 labs
411 TOWN PARK BLVD, EVANS, GA 30809(706) 854-2500(706) 854-2559 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Partners Of Augusta, Llc NPPES

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

PEDIATRIC PARTNERS OF AUGUSTA, LLC (NPI 1417064924) is a healthcare organization registered as a pediatrics in Evans, Georgia and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Elizabeth Affet, Practice Manger, as its authorized official.

NPPES Registry Identity

NPI1417064924
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC PARTNERS OF AUGUSTA, LLC
Location Address411 TOWN PARK BLVDEvans, GA 30809-3487
Mailing AddressPo Box 1758Evans, GA 30809-1758 · (706) 854-2500 · Fax (706) 854-2559
Phone(706) 854-2500
Fax(706) 854-2559
Organization SubpartNo
Authorized OfficialElizabeth AffetPractice Manger · (706) 854-2500
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1417064924 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.
411 TOWN PARK BLVD, Evans, GA 30809
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Secondary Practice Locations 2

Location 15135 Wrightsboro Rd Ste BGrovetown, GA 30813-2803 · Phone (706) 854-2500 · Fax (706) 854-2559
Location 21303 Dantignac St Ste 2600Augusta, GA 30901-2796 · Phone (706) 854-2500 · Fax (706) 854-2559

Other Identifiers 2

Medicaid85000031GGA
Medicaid085001130GGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 11D0707368

Pediatric Partners Of Augusta LLC · Evans, GA
Active · expires Jun 1, 2027
CLIA Number11D0707368
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorSteven R. Jones
Laboratory Phone(706) 854-2500
Laboratory LocationPediatric Partners Of Augusta LLC411 Town Park Boulevard, Evans, GA 30809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D0706472

Pediatric Partners Of Augusta · Augusta, GA
Active · expires Aug 12, 2026
CLIA Number11D0706472
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorScott V. Chappell
Laboratory Phone(706) 854-2500
Laboratory LocationPediatric Partners Of Augusta1303 Dantignac Street Ste 2600, Augusta, GA 30901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2152298

Pediatric Partners Of Augusta, LLC · Grovetown, GA
Active · expires Jun 19, 2027
CLIA Number11D2152298
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJill A. Kitchens
Laboratory Phone(706) 854-2500
Laboratory LocationPediatric Partners Of Augusta, LLC241 Meridian Drive, Grovetown, GA 30813
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

DR. SCOTT V. CHAPPELL M.D.
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
STEVEN R. JONES MD
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
DR. SANDRA HERZWURM MD
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
MELISSA CRISCILLIS CPNP-AC
Nurse Practitioner (Acute Care)
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
ANNA KATHERINE REES
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
YOLANDA ROBERTA SAFFORD JONES M.D.
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
AMANDA TAPLEY MCGRIFF M.D.
Pediatrics
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500
MRS. BALEIGH BARTON
Nurse Practitioner
411 TOWN PARK BLVD
EVANS, GA 30809
Columbia County (706) 854-2500

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 Pediatric Partners Of Augusta, LLC's NPI number?

The NPI number for Pediatric Partners Of Augusta, LLC is 1417064924. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Pediatric Partners Of Augusta, LLC located?

Pediatric Partners Of Augusta, LLC is located at 411 Town Park Blvd, Evans, GA 30809. The listed phone number is (706) 854-2500.

What is Pediatric Partners Of Augusta, LLC's specialty?

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

Does Pediatric Partners Of Augusta, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Partners Of Augusta, LLC was last updated on January 23, 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.