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TOTS TO TEENS MEDICAL CTR
NPI 1982772182
Pediatrics in Vidalia, GA

Active since December 04, 2006CLIA 11D1090591 · Waiver
303 HARRIS INDUSTRIAL BLVD., SUITE 1, VIDALIA, GA 30474(912) 537-9991(912) 537-9975 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tots To Teens Medical Ctr NPPES

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

TOTS TO TEENS MEDICAL CTR (NPI 1982772182) is a healthcare organization registered as a pediatrics in Vidalia, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Jo E. Smith, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1982772182
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTOTS TO TEENS MEDICAL CENTER
Location Address303 HARRIS INDUSTRIAL BLVD., SUITE 1Vidalia, GA 30474
Mailing AddressPo Box 569Vidalia, GA 30475 · (912) 537-9991 · Fax (912) 537-9975
Phone(912) 537-9991
Fax(912) 537-9975
Organization SubpartNo
Authorized OfficialJo E. SmithPractice Administrator · (912) 537-9991
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 9, 2009
✔ NPI 1982772182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
303 HARRIS INDUSTRIAL BLVD., Vidalia, GA 30474
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Other Names 1

Doing Business AsTots To Teens Medical Ctr

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 Waiver 11D1090591

Tots To Teens Medical Center · Vidalia, GA
Active · expires Oct 14, 2026
CLIA Number11D1090591
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorEtta W. Boss-Cole
Laboratory Phone(912) 537-9991
Laboratory LocationTots To Teens Medical Center303 Harris Industrial Boulevard, Suite 5, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. RONALD B. YANCEY O.D.
Optometrist
303 HARRIS INDUSTRIAL BLVD., SUITE 7
VIDALIA, GA 30474
Toombs County (912) 537-4400
GILBERT J. GONZALEZ, M.D., LLC
Urology
303 HARRIS INDUSTRIAL BLVD., SUITE 5
VIDALIA, GA 30474
Toombs County (912) 537-9481
VPC, INC.
Pediatrics
303 HARRIS INDUSTRIAL BLVD., STE 3
VIDALIA, GA 30474
Toombs County (912) 537-9355
RONALD B. YANCEY, P.C.
Optometrist
303 HARRIS INDUSTRIAL BLVD., SUITE 7
VIDALIA, GA 30474
Toombs County (912) 537-4400

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 Tots To Teens Medical Center's NPI number?

The NPI number for Tots To Teens Medical Center is 1982772182. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Tots To Teens Medical Ctr.

Where is Tots To Teens Medical Center located?

Tots To Teens Medical Center is located at 303 Harris Industrial Blvd. Suite 1, Vidalia, GA 30474. The listed phone number is (912) 537-9991.

What is Tots To Teens Medical Center's specialty?

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

Does Tots To Teens Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1090591) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tots To Teens Medical Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tots To Teens Medical Center 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 Tots To Teens Medical Center was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.