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THE PEDIATRIC CLINIC, P.A.
NPI 1811995111
Pediatrics in Orangeburg, SC

Active since July 11, 2005
940 HOLLY ST NE, ORANGEBURG, SC 29115(803) 536-2725(803) 534-1441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About The Pediatric Clinic, P.a. NPPES

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

THE PEDIATRIC CLINIC, P.A. (NPI 1811995111) is a healthcare organization registered as a pediatrics in Orangeburg, South Carolina and active in the NPI registry since July 2005. The organization lists Peggy C. Thomas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811995111
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC CLINIC, P.A.
Location Address940 HOLLY ST NEOrangeburg, SC 29115-4930
Mailing Address940 Holly St NeOrangeburg, SC 29115-4930 · (803) 536-2725 · Fax (803) 534-1441
Phone(803) 536-2725
Fax(803) 534-1441
Organization SubpartNo
Authorized OfficialPeggy C. ThomasOffice Manager · (803) 536-2725
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1811995111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
940 HOLLY ST NE, Orangeburg, SC 29115
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Other Identifiers 1

MedicaidGP0966SC

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 3

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

DR. BEN C PENDARVIS JR. M.D.
Pediatrics
940 HOLLY ST NE
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
DR. THOMAS B. GUE M.D.
Pediatrics
940 HOLLY ST NE
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
DR. TRACY D. MACPHERSON M.D.
Pediatrics
940 HOLLY ST NE
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725

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 Clinic, P.A.'s NPI number?

The NPI number for The Pediatric Clinic, P.A. is 1811995111. It was assigned to this organization in the NPPES registry on July 11, 2005.

Where is The Pediatric Clinic, P.A. located?

The Pediatric Clinic, P.A. is located at 940 Holly St NE, Orangeburg, SC 29115. The listed phone number is (803) 536-2725.

What is The Pediatric Clinic, P.A.'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 The Pediatric Clinic, P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.