SOUTHWEST GEORGIA PEDIATRICS
NPI 1457649774
Specialist in Albany, GA

Active since July 20, 2011CLIA 11D0265748 · Waiver
1110 N MONROE ST, ALBANY, GA 31701(229) 888-8121(229) 888-6374 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest Georgia Pediatrics NPPES

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

SOUTHWEST GEORGIA PEDIATRICS (NPI 1457649774) is a healthcare organization registered as a specialist in Albany, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Bruce A Smith, President, as its authorized official.

NPPES Registry Identity

NPI1457649774
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHWEST GEORGIA PEDIATRICS
Location Address1110 N MONROE STAlbany, GA 31701-1949
Mailing Address1110 N Monroe StAlbany, GA 31701-1949 · (229) 888-8121 · Fax (229) 888-6374
Fax(229) 888-6374
Organization SubpartNo
Authorized OfficialBruce A SmithPresident · (229) 888-8121
Enumeration DateJuly 20, 2011
NPI 1457649774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1110 N MONROE ST, Albany, GA 31701

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

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 11D0265748

Southwest Georgia Pediatrics · Albany, GA
Active · expires Mar 2, 2027
CLIA Number11D0265748
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorStacy N. Evans
Laboratory Phone(229) 888-8121
Laboratory LocationSouthwest Georgia Pediatrics1110 North Monroe Street, Albany, GA 31701
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 3

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

Nurse Practitioner (Family)
1110 N MONROE ST
ALBANY, GA 31701
Pediatrics
1110 N MONROE ST
ALBANY, GA 31701
Pediatrics
1110 N MONROE ST
ALBANY, GA 31701

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 Southwest Georgia Pediatrics's NPI number?

The NPI number for Southwest Georgia Pediatrics is 1457649774. It was assigned to this organization in the NPPES registry on July 20, 2011.

Where is Southwest Georgia Pediatrics located?

Southwest Georgia Pediatrics is located at 1110 N Monroe St, Albany, GA 31701. The listed phone number is (229) 888-8121.

What is Southwest Georgia Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southwest Georgia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0265748) is associated with this NPI, valid through March 2, 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 Southwest Georgia Pediatrics was last updated on July 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.