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DR. MARYLOU DAVID FERNANDO M.D.
NPI 1881644045
Pediatrics in Augusta, GA

Active since May 10, 2006
1113 GARREDD BLVD STE B, AUGUSTA, GA 30909(706) 364-8220(706) 922-5856 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2021, Sep 11, 2020 (2 updates tracked since 2020).

About Dr. Marylou David Fernando M.d. NPPES

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

DR. MARYLOU DAVID FERNANDO M.D. (NPI 1881644045) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (028770) and active in the NPI registry since May 2006. She maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1881644045
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARYLOU DAVID FERNANDOCredential: M.D.
Location Address1113 GARREDD BLVD STE BAugusta, GA 30909-6757
Mailing Address2467 Golden Camp RdAugusta, GA 30906-5515 · (706) 790-4440 · Fax (706) 790-4393
Phone(706) 364-8220
Fax(706) 922-5856
Sole ProprietorYes
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1881644045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 028770
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.

1113 GARREDD BLVD STE B, Augusta, GA 30909
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Secondary Practice Location 1

Location 11111 Garredd Blvd Ste AAugusta, GA 30909-6751 · Phone (706) 863-5776 · Fax (706) 868-7057

Other Identifiers 1

Medicaid00344132HGA

Other Providers at the Same Location NPPES

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

RELPHA ESCALONA-CRUZ M.D.
Pediatrics
1113 GARREDD BLVD STE B
AUGUSTA, GA 30909
Richmond County (706) 868-0919

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 Marylou Fernando's NPI number?

The NPI number for Marylou Fernando is 1881644045. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Marylou Fernando located?

Marylou Fernando practices at 1113 Garredd Blvd Ste B, Augusta, GA 30909. The listed phone number is (706) 364-8220.

What is Marylou Fernando'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 Marylou Fernando was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.