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

TARA K PEDIGO MD
NPI 1689669699
Pediatrics in Augusta, GA

Active since September 15, 2005PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara K Pedigo Md NPPES

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

TARA K PEDIGO MD (NPI 1689669699) is an individual pediatrics provider in Augusta, Georgia, licensed in Tennessee (38825) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1689669699
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTARA K PEDIGOCredential: MD
Location Address1120 15TH STAugusta, GA 30912
Mailing Address1120 15th St Ste Bi1056Augusta, GA 30912-0004 · (706) 721-3813 · Fax (706) 721-9286
Phone(706) 721-8623
Fax(706) 721-1459
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateNovember 5, 2018
✔ NPI 1689669699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 38825
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.
1120 15TH ST, Augusta, GA 30912
Open in Google Maps ↗

Secondary Practice Location 1

Location 12863 Highway 45 BypJackson, TN 38305-3618 · Phone (731) 664-1375 · Fax (731) 660-8370

Other Identifiers 1

Medicaid3894808TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara K Pedigo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tara Pedigo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Au Medical Associates Inc
0.2 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Tara Pedigo's NPI number?

The NPI number for Tara Pedigo is 1689669699. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Tara Pedigo located?

Tara Pedigo practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Tara Pedigo's specialty?

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

Is Tara Pedigo enrolled in Medicare?

Yes. Tara Pedigo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Pedigo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Pedigo reassigns Medicare benefits to Au Medical Associates Inc (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Pedigo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Pedigo was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.