SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER
NPI 1578776381
Pediatrics - Adolescent Medicine in Valdosta, GA

Q: What is South Georgia Pediatric And Allergy Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since May 08, 2007

3440 N VALDOSTA RD, VALDOSTA, GA 31602(229) 247-2211(229) 247-9313 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About South Georgia Pediatric And Allergy Center NPPES

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

SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER (NPI 1578776381) is a healthcare organization registered as an adolescent medicine in Valdosta, Georgia and active in the NPI registry since May 2007. The organization lists Alan Joseph Alvarado, President, as its authorized official.

NPPES Registry Identity

NPI1578776381

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameSOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER

Location Address3440 N VALDOSTA RDValdosta, GA 31602-1079

Mailing Address3440 N Valdosta RdValdosta, GA 31602-1079 · (229) 247-2211 · Fax (229) 247-9313

Phone(229) 247-2211

Fax(229) 247-9313

Organization SubpartNo

Authorized OfficialAlan Joseph AlvaradoPresident · (229) 247-2211

Enumeration DateMay 8, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1578776381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in GA · 053436✔ Licensed in GA · 037463✔ Licensed in GA · 048706

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 037463 (GA)

Also ListedPediatricsTaxonomy 208000000X · License 037463 (GA), 048706 (GA), 053436 (GA)

3440 N VALDOSTA RD, Valdosta, GA 31602

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 Waiver 11D0265527

South Georgia Pediatrics & Allergy Ctr · Valdosta, GA

Expired · Aug 25, 2026

CLIA Number11D0265527

Laboratory TypePhysician Office

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorAlan J. Alvarado MD

Laboratory Phone(229) 247-2211

Laboratory LocationSouth Georgia Pediatrics & Allergy Ctr3440 North Valdosta Road, Valdosta, GA 31602

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

EMILEE MORRIS FNP

Nurse Practitioner (Family)