SOUTHEAST PEDIATRICS,P.C.
NPI 1871844134
Clinic/Center - Rural Health in Tuskegee, AL

Active since September 27, 2012
804 CRAWFORD ST, TUSKEGEE, AL 36083(334) 724-0550(334) 724-0591 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Pediatrics,p.c. NPPES

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

SOUTHEAST PEDIATRICS,P.C. (NPI 1871844134) is a healthcare organization registered as a rural health in Tuskegee, Alabama and active in the NPI registry since September 2012. The organization lists Mollie Ann Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1871844134
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST PEDIATRICS,P.C.
Location Address804 CRAWFORD STTuskegee, AL 36083-7262
Mailing Address804 Crawford StTuskegee, AL 36083-7262 · (334) 724-0550 · Fax (334) 724-0591
Fax(334) 724-0591
Organization SubpartYesParent: Southeast Pediatrics,p.c
Authorized OfficialMollie Ann WalkerOwner · (334) 724-0550
Enumeration DateSeptember 27, 2012
NPI 1871844134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in AL · 11822
804 CRAWFORD ST, Tuskegee, AL 36083

Other Identifiers 1

Medicaid529933919AL

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.

Pediatrics
804 CRAWFORD ST
TUSKEGEE, AL 36083
Pediatrics
804 CRAWFORD ST
TUSKEGEE, AL 36083

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,p.C.'s NPI number?

The NPI number for Southeast Pediatrics,p.C. is 1871844134. It was assigned to this organization in the NPPES registry on September 27, 2012.

Where is Southeast Pediatrics,p.C. located?

Southeast Pediatrics,p.C. is located at 804 Crawford St, Tuskegee, AL 36083. The listed phone number is (334) 724-0550.

What is Southeast Pediatrics,p.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Southeast Pediatrics,p.C. was last updated on September 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.