CSRA HEALTH LLC
NPI 1467143313
Pediatrics in Martinez, GA

Active since May 19, 2023CLIA 11D2288223 · Waiver
699 FURYS FERRY ROAD, MARTINEZ, GA 30907(706) 399-2825 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Csra Health Llc NPPES

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

CSRA HEALTH LLC (NPI 1467143313) is a healthcare organization registered as a pediatrics in Martinez, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Deepa Jagdale, Cmo, as its authorized official.

NPPES Registry Identity

NPI1467143313
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCSRA HEALTH LLC
Location Address699 FURYS FERRY ROADMartinez, GA 30907
Mailing Address629 High Hampton DrMartinez, GA 30907-9126 · (706) 399-2825
Organization SubpartNo
Authorized OfficialDeepa JagdaleCmo · (706) 399-2825
Enumeration DateMay 19, 2023
NPPES CertifiedMay 10, 2023
NPI 1467143313 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.
699 FURYS FERRY ROAD, Martinez, GA 30907

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

Accepted Insurance

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 11D2288223

Csra Health LLC · Martinez, GA
Active · expires Aug 22, 2027
CLIA Number11D2288223
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDeepa Jagdale
Laboratory Phone(706) 250-2122
Laboratory LocationCsra Health LLC699 Furys Ferry Road, Martinez, GA 30907
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Csra Health LLC's NPI number?

The NPI number for Csra Health LLC is 1467143313. It was assigned to this organization in the NPPES registry on May 19, 2023.

Where is Csra Health LLC located?

Csra Health LLC is located at 699 Furys Ferry Road, Martinez, GA 30907. The listed phone number is (706) 399-2825.

What is Csra Health LLC's specialty?

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

Does Csra Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2288223) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Csra Health LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Csra Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Csra Health LLC was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.