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SOUTHEAST PEDIATRICS
NPI 1790844819
Pediatrics in Tuskegee, AL

Active since December 06, 2006
804 CRAWFORD ST, TUSKEGEE, AL 36083(334) 724-0350 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Pediatrics NPPES

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

SOUTHEAST PEDIATRICS (NPI 1790844819) is a healthcare organization registered as a pediatrics in Tuskegee, Alabama and active in the NPI registry since December 2006. The organization lists Mollie Ann Walker, Offiicer, as its authorized official.

NPPES Registry Identity

NPI1790844819
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHEAST PEDIATRICS
Location Address804 CRAWFORD STTuskegee, AL 36083-7262
Mailing Address804 Crawford StTuskegee, AL 36083-7262 · (334) 724-0350
Phone(334) 724-0350
Organization SubpartNo
Authorized OfficialMollie Ann WalkerOffiicer · (334) 724-0550
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790844819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 0011822
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.
804 CRAWFORD ST, Tuskegee, AL 36083
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Other Identifiers 2

Other0011822AL · License Number
Other5L502423AL · Bluecross

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 2

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

DR. MOLLIE ANN WALKER M.D.
Pediatrics
804 CRAWFORD ST
TUSKEGEE, AL 36083
Macon County (344) 724-0550
SOUTHEAST PEDIATRICS,P.C.
Clinic/Center (Rural Health)
804 CRAWFORD ST
TUSKEGEE, AL 36083
Macon County (334) 724-0550

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 Southeast Pediatrics's NPI number?

The NPI number for Southeast Pediatrics is 1790844819. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Southeast Pediatrics located?

Southeast Pediatrics is located at 804 Crawford St, Tuskegee, AL 36083. The listed phone number is (334) 724-0350.

What is Southeast Pediatrics'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 Southeast Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.