NPI age
14 years
Enumerated 2012-02-08
● Active Type 2 · Organization
Middle Georgia Pediatrics
Middle Georgia Pediatrics is 1 of 138 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bush
Proprietor
Last NPPES update
2012-02-08
Source: monthly bulk 2026-05
How this organization compares
Across 138 active pediatrics providers in Georgia.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1508 Hardeman Ave Ste B
MacOn, GA 312011471
Mailing address
1508 Hardeman Ave Ste B
MacOn, GA 312011471
Authorized official
Stanley Seth Bush, M.D.
Proprietor
📞 4787417371
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jennifer Slade, CPNP-PC Nurse Practitioner NPI 1013147503
Specialties
-
Pediatrics PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000872737B |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.