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MITCHELL COUNTY PEDIATRICS CENTER
NPI 1932288271
Pediatrics in Camilla, GA

Active since November 06, 2006CLIA 11D2259361 · Waiver
35 S SCOTT ST, CAMILLA, GA 31730(229) 336-9769(229) 336-3867 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell County Pediatrics Center NPPES

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

MITCHELL COUNTY PEDIATRICS CENTER (NPI 1932288271) is a healthcare organization registered as a pediatrics in Camilla, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Bashiru A Dawodu, Owner, as its authorized official.

NPPES Registry Identity

NPI1932288271
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMITCHELL COUNTY PEDIATRICS CENTER
Location Address35 S SCOTT STCamilla, GA 31730-1705
Mailing Address35 S Scott StCamilla, GA 31730-1705 · (229) 336-9769 · Fax (229) 336-3867
Phone(229) 336-9769
Fax(229) 336-3867
Organization SubpartNo
Authorized OfficialBashiru A DawoduOwner · (229) 336-9769
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932288271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 052162
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.
35 S SCOTT ST, Camilla, GA 31730
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Other Identifiers 2

Medicaid340537GA
Medicaid341793GA

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

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 11D2259361

Mitchell County Pediatrics & Health Center · Camilla, GA
Active · expires May 4, 2028
CLIA Number11D2259361
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorAntonio R. Miller
Laboratory Phone(229) 336-9769
Laboratory LocationMitchell County Pediatrics & Health Center94 East Oakland Avenue, Suite A, Camilla, GA 31730
CLIA data matches this NPI record on: Phone
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.

MR. BASHIRU A DAWODU M.D.
Pediatrics
35 S SCOTT ST
CAMILLA, GA 31730
Mitchell County (229) 336-9769

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 Mitchell County Pediatrics Center's NPI number?

The NPI number for Mitchell County Pediatrics Center is 1932288271. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Mitchell County Pediatrics Center located?

Mitchell County Pediatrics Center is located at 35 S Scott St, Camilla, GA 31730. The listed phone number is (229) 336-9769.

What is Mitchell County Pediatrics Center's specialty?

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

Does Mitchell County Pediatrics Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2259361) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mitchell County Pediatrics Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.