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PRIMARY PEDIATRICS, PC
NPI 1477638575
Specialist in Macon, GA

Active since October 26, 2006
5300 BOWMAN RD, MACON, GA 31210(478) 741-3007(478) 200-1960 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Primary Pediatrics, Pc NPPES

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

PRIMARY PEDIATRICS, PC (NPI 1477638575) is a healthcare organization registered as a specialist in Macon, Georgia and active in the NPI registry since October 2006. The organization lists Lance Slade, President, as its authorized official.

NPPES Registry Identity

NPI1477638575
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRIMARY PEDIATRICS, PC
Location Address5300 BOWMAN RDMacon, GA 31210
Mailing Address5300 Bowman RdMacon, GA 31210 · (478) 741-3007 · Fax (478) 200-1960
Phone(478) 741-3007
Fax(478) 200-1960
Organization SubpartNo
Authorized OfficialLance SladePresident · (478) 741-3007
Enumeration DateOctober 26, 2006
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
✔ NPI 1477638575 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.
5300 BOWMAN RD, Macon, GA 31210
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Other Identifiers 2

Medicaid300034047AGA
Medicaid003216177AGA

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Compliance 11D0264038

Primary Pediatrics Of Macon · Macon, GA
Expired · Sep 30, 2026
CLIA Number11D0264038
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorChristopher J. Cawley
Laboratory Phone(478) 741-3007
Laboratory LocationPrimary Pediatrics Of Macon5300 Bowman Road, Macon, GA 31210
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.

Other Providers at the Same Location NPPES

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

DANA ELIZABETH TOTH FNP-C
Nurse Practitioner (Family)
5300 BOWMAN RD
MACON, GA 31210
Bibb County (478) 239-1043

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 Primary Pediatrics, PC's NPI number?

The NPI number for Primary Pediatrics, PC is 1477638575. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Primary Pediatrics, PC located?

Primary Pediatrics, PC is located at 5300 Bowman Rd, Macon, GA 31210. The listed phone number is (478) 741-3007.

What is Primary Pediatrics, PC's specialty?

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

What insurance does Primary Pediatrics, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Primary Pediatrics, PC 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 Primary Pediatrics, PC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.