CHILDREN FIRST PEDIATRIC CLINIC
NPI 1568766293
Clinic/Center - Primary Care in Augusta, GA

Active since January 10, 2011CLIA 11D2020107 · Waiver
1267 INTERSTATE PKWY, AUGUSTA, GA 30909(706) 868-0919(706) 868-0929 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Children First Pediatric Clinic NPPES

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

CHILDREN FIRST PEDIATRIC CLINIC (NPI 1568766293) is a healthcare organization registered as a primary care in Augusta, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Rosalito C Cruz, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568766293
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEBE MED, INC
Location Address1267 INTERSTATE PKWYAugusta, GA 30909-6481
Mailing Address786 Locks WayMartinez, GA 30907-4976 · (706) 231-5977 · Fax (706) 868-0929
Fax(706) 868-0929
Organization SubpartNo
Authorized OfficialRosalito C CruzChief Executive Officer · (706) 231-5977
Enumeration DateJanuary 10, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1568766293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 051131
1267 INTERSTATE PKWY, Augusta, GA 30909

Other Names 1

Doing Business AsChildren First Pediatric Clinic

Other Identifiers 1

Medicaid000940354EGA

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 11D2020107

Children First Pediatric Clinic · Augusta, GA
Active · expires Feb 13, 2027
CLIA Number11D2020107
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorRelpha V. Escalona - Cruz
Laboratory Phone(706) 733-8564
Laboratory LocationChildren First Pediatric Clinic1267 Interstate Parkway, Augusta, GA 30909
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dermatology (Procedural Dermatology)
1267 INTERSTATE PKWY
AUGUSTA, GA 30909

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 Pebe Med, Inc's NPI number?

The NPI number for Pebe Med, Inc is 1568766293. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider is doing business as Children First Pediatric Clinic.

Where is Pebe Med, Inc located?

Pebe Med, Inc is located at 1267 Interstate Pkwy, Augusta, GA 30909. The listed phone number is (706) 868-0919.

What is Pebe Med, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pebe Med, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2020107) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pebe Med, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Pebe Med, Inc 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 Pebe Med, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.