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HAZLEHURST PEDIATRICS, PC
NPI 1720376999
Pediatrics in Hazlehurst, GA

Active since July 21, 2011CLIA 11D2167875 · Waiver
143 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 375-3360(912) 375-3365 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Hazlehurst Pediatrics, Pc NPPES

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

HAZLEHURST PEDIATRICS, PC (NPI 1720376999) is a healthcare organization registered as a pediatrics in Hazlehurst, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Angela Patricia Highbaugh-battle, President, as its authorized official.

NPPES Registry Identity

NPI1720376999
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHAZLEHURST PEDIATRICS, PC
Location Address143 S TALLAHASSEE STHazlehurst, GA 31539-6466
Mailing AddressPo Box 630Hazlehurst, GA 31539-0630 · (912) 375-3360 · Fax (912) 375-3365
Phone(912) 375-3360
Fax(912) 375-3365
Organization SubpartNo
Authorized OfficialAngela Patricia Highbaugh-battlePresident · (912) 375-3360
Enumeration DateJuly 21, 2011
✔ NPI 1720376999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 59076
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.
143 S TALLAHASSEE ST, Hazlehurst, GA 31539
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Other Identifiers 1

Medicaid779621656AGA

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

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 11D2167875

Hazlehurst Pediatics · Hazlehurst, GA
Active · expires Jun 17, 2027
CLIA Number11D2167875
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorKatrina Leshanski
Laboratory Phone(912) 375-3360
Laboratory LocationHazlehurst Pediatics143 S Tallahassee Street, Hazlehurst, GA 31539
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 4

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

TONY SPARKS, LLC DBA HAZLEHURST PEDIATRICS
Pediatrics
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-3360
DAVID J. ELLIS, DO, LLC
Family Medicine
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-7575
ELITE MEDICAL ASSOCIATES, PC
Specialist
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-4400
HAZLEHURST PEDIATRICS, PC
Pediatrics
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-3360

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 Hazlehurst Pediatrics, PC's NPI number?

The NPI number for Hazlehurst Pediatrics, PC is 1720376999. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Hazlehurst Pediatrics, PC located?

Hazlehurst Pediatrics, PC is located at 143 S Tallahassee St, Hazlehurst, GA 31539. The listed phone number is (912) 375-3360.

What is Hazlehurst Pediatrics, PC's specialty?

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

Does Hazlehurst Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2167875) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hazlehurst Pediatrics, PC was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.