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PEDIATRIC CARE OF MACON, LLC
NPI 1760636575
Pediatrics in Macon, GA

Active since November 06, 2008
3951 RIDGE AVE, SUITE A, MACON, GA 31210(478) 475-1006(478) 475-0787 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Care Of Macon, Llc NPPES

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

PEDIATRIC CARE OF MACON, LLC (NPI 1760636575) is a healthcare organization registered as a pediatrics in Macon, Georgia and active in the NPI registry since November 2008. The organization lists Leigh Howard Mcdaniel, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1760636575
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CARE OF MACON, LLC
Location Address3951 RIDGE AVE, SUITE AMacon, GA 31210-5050
Mailing Address3951 Ridge Ave, Suite AMacon, GA 31210-5050 · (478) 475-1006 · Fax (478) 475-0787
Phone(478) 475-1006
Fax(478) 475-0787
Organization SubpartNo
Authorized OfficialLeigh Howard McdanielPractice Manager · (478) 475-1006
Enumeration DateNovember 6, 2008
✔ NPI 1760636575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 020359
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.
3951 RIDGE AVE, Macon, GA 31210
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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 Compliance 11D0264027

Pediatric Care Of Macon LLC · Macon, GA
Expired · Jul 31, 2026
CLIA Number11D0264027
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMolly R. Sims
Laboratory Phone(478) 475-1006
Laboratory LocationPediatric Care Of Macon LLC3951 Ridge Ave Suite A, Macon, GA 31210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

NICHOLAS A PIETRZAK, MD, LLC
Family Medicine
3951 RIDGE AVE, STE B
MACON, GA 31210
Bibb County (478) 757-1934
ALLERGY ASSOCIATES, PA
Allergy & Immunology
3951 RIDGE AVE, SUITE C
MACON, GA 31210
Bibb County (865) 584-8588
AMANDA J HARMON NP
Nurse Practitioner (Family)
3951 RIDGE AVE, STE B
MACON, GA 31210
Bibb County (478) 757-1934
DR. MINOR C VERNON M.D.
Pediatrics
3951 RIDGE AVE, STE A
MACON, GA 31210
Bibb County (478) 475-1006
DR. NICHOLAS A PIETRZAK II MD
Family Medicine
3951 RIDGE AVE, STE B
MACON, GA 31210
Bibb County (478) 757-1934

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 Pediatric Care Of Macon, LLC's NPI number?

The NPI number for Pediatric Care Of Macon, LLC is 1760636575. It was assigned to this organization in the NPPES registry on November 6, 2008.

Where is Pediatric Care Of Macon, LLC located?

Pediatric Care Of Macon, LLC is located at 3951 Ridge Ave Suite A, Macon, GA 31210. The listed phone number is (478) 475-1006.

What is Pediatric Care Of Macon, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Care Of Macon, LLC was last updated on November 6, 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.