1. Home
  2. Directory
  3. Georgia
  4. Bogart
  5. Pediatrics
  6. NPI Profile

PEDIATRIC PARTNERS LLC
NPI 1972591238
Pediatrics - Adolescent Medicine in Bogart, GA

Active since October 11, 2005CLIA 11D0999979 · Accreditation
1520B JENNINGS MILL RD, BOGART, GA 30622(706) 548-1216(706) 548-1772 Get Directions Write a Review

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

About Pediatric Partners Llc NPPES

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

PEDIATRIC PARTNERS LLC (NPI 1972591238) is a healthcare organization registered as an adolescent medicine in Bogart, Georgia and active in the NPI registry since October 2005. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Debbie L. Eubanks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972591238
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC PARTNERS LLC
Location Address1520B JENNINGS MILL RDBogart, GA 30622-2543
Mailing Address1520b Jennings Mill RdBogart, GA 30622-2543 · (706) 548-1216 · Fax (706) 548-1772
Phone(706) 548-1216
Fax(706) 548-1772
Organization SubpartNo
Authorized OfficialDebbie L. EubanksAdministrator · (706) 548-1216
Enumeration DateOctober 11, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972591238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1520B JENNINGS MILL RD, Bogart, GA 30622
Open in Google Maps ↗

Other Identifiers 1

Medicaid85002970GGA

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 Accreditation 11D0999979

Pediatric Partners LLC · Watkinsville, GA
Active · expires Sep 3, 2027
CLIA Number11D0999979
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorVan Mccorkle
Laboratory Phone(706) 548-1216
Laboratory LocationPediatric Partners LLC1500 Langford Drive, Suite 100, Watkinsville, GA 30677
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

INGRID RUTH NEWMAN MD
Pediatrics (Adolescent Medicine)
1520B JENNINGS MILL RD
BOGART, GA 30622
Oconee County (706) 548-1216
MS. NATALIE SPIF ROMINES SNP
Nurse Practitioner (Women's Health)
1520B JENNINGS MILL RD
BOGART, GA 30622
Oconee County (706) 227-8999
VAN SCOTT MCCORKLE MD
Pediatrics (Adolescent Medicine)
1520B JENNINGS MILL RD
BOGART, GA 30622
Oconee County (706) 548-1216

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 Pediatric Partners LLC's NPI number?

The NPI number for Pediatric Partners LLC is 1972591238. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is Pediatric Partners LLC located?

Pediatric Partners LLC is located at 1520B Jennings Mill Rd, Bogart, GA 30622. The listed phone number is (706) 548-1216.

What is Pediatric Partners LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Partners LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0999979) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Partners LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Pediatric Partners LLC 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 Pediatric Partners LLC 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.