1. Home
  2. Directory
  3. Georgia
  4. Evans
  5. Pediatrics
  6. NPI Profile

THE PEDIATRIC OFFICE, LLC
NPI 1629025432
Pediatrics - Adolescent Medicine in Evans, GA

Active since May 27, 2006
4321 UNIVERSITY PKWY, SUITE 104, EVANS, GA 30809(706) 854-2600(706) 854-2601 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Pediatric Office, Llc NPPES

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

THE PEDIATRIC OFFICE, LLC (NPI 1629025432) is a healthcare organization registered as an adolescent medicine in Evans, Georgia and active in the NPI registry since May 2006. The organization lists Keelyn Clark Cunningham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629025432
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameTHE PEDIATRIC OFFICE, LLC
Location Address4321 UNIVERSITY PKWY, SUITE 104Evans, GA 30809-3058
Mailing Address4321 University Pkwy, Suite 104Evans, GA 30809-3058 · (706) 854-2600 · Fax (706) 854-2601
Phone(706) 854-2600
Fax(706) 854-2601
Organization SubpartNo
Authorized OfficialKeelyn Clark CunninghamOffice Manager · (706) 854-2600
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 5, 2008
✔ NPI 1629025432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
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.
4321 UNIVERSITY PKWY, Evans, GA 30809
Open in Google Maps ↗

Other Identifiers 1

Medicaid300035984AGA

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

Other Providers at the Same Location NPPES 4

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

DR. DYAN M SPINNATO M.D.
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
SUSAN M GOLDBERG MD
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
DR. MARGARET MCGEE RENEW MD
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
JULIE MILLER QUATTLEBAUM MD
Pediatrics
4321 UNIVERSITY PKWY
EVANS, GA 30809
Columbia County (706) 790-4440

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 The Pediatric Office, LLC's NPI number?

The NPI number for The Pediatric Office, LLC is 1629025432. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is The Pediatric Office, LLC located?

The Pediatric Office, LLC is located at 4321 University Pkwy Suite 104, Evans, GA 30809. The listed phone number is (706) 854-2600.

What is The Pediatric Office, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for The Pediatric Office, LLC was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.