P Praxis·MD
● Active Type 2 · Organization

Child And Adolescent Medical Providers, P.c.

Pediatrics·Lavonia, GA· NPI 1215093430 · Enumerated 2006 · 19 years on NPI
Child And Adolescent Medical Providers, P.c. is 1 of 2726 pediatrics organizations in Georgia.
NPI age
19 years
Enumerated 2006-12-29
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
13375 Jones St Ste C
Lavonia, GA 305531147
📞 7063565439fax 7063565897
Mailing address
13375 Jones St Ste C
Lavonia, GA 305531147
📞 7063565439fax 7063565897

Authorized official

David C Martin, MD
Ceo
📞 7063565439

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pediatrics Primary
    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...
    GA license #047486 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 309143
01 (GA) 52768660 BCBS PIN#
05 (GA) 85002622G
05 (GA) 00860219C
05 (GA) 10056443

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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