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EATONTON PEDIATRICS
NPI 1902064918
Pediatrics in Eatonton, GA

Active since May 27, 2008CLIA 11D1012974 · Waiver
116 SPARTA HWY, EATONTON, GA 31024(706) 923-0904(706) 923-0905 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eatonton Pediatrics NPPES

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

EATONTON PEDIATRICS (NPI 1902064918) is a healthcare organization registered as a pediatrics in Eatonton, Georgia and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Muneer Al-hakim, M.d., as its authorized official.

NPPES Registry Identity

NPI1902064918
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEATONTON PEDIATRICS
Location Address116 SPARTA HWYEatonton, GA 31024-8484
Mailing AddressPo Box 3009Eatonton, GA 31024-3009 · (706) 923-0904 · Fax (706) 923-0905
Phone(706) 923-0904
Fax(706) 923-0905
Organization SubpartNo
Authorized OfficialMuneer Al-hakimM.d. · (706) 923-0904
Enumeration DateMay 27, 2008
✔ NPI 1902064918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 042781
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.
116 SPARTA HWY, Eatonton, GA 31024
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Other Identifiers 2

Medicaid733076132AGA
Medicaid611384188AGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 Waiver 11D1012974

Eatonton Pedicatrics · Eatonton, GA
Active · expires May 26, 2027
CLIA Number11D1012974
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorMuneer Al Hakim
Laboratory Phone(706) 923-0704
Laboratory LocationEatonton Pedicatrics116 Sparta Highway, Eatonton, GA 31024
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MUNEER AL-HAKIM M.D.
Pediatrics (Adolescent Medicine)
116 SPARTA HWY
EATONTON, GA 31024
Putnam County (706) 923-0904

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 Eatonton Pediatrics's NPI number?

The NPI number for Eatonton Pediatrics is 1902064918. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Eatonton Pediatrics located?

Eatonton Pediatrics is located at 116 Sparta Hwy, Eatonton, GA 31024. The listed phone number is (706) 923-0904.

What is Eatonton Pediatrics's specialty?

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

Does Eatonton Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1012974) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eatonton Pediatrics accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Eatonton Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eatonton Pediatrics was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.