NPI age
17 years
Enumerated 2008-07-14
● Active Type 2 · Organization
East Georgia Pediatrics
East Georgia Pediatrics is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deal
Owner
Last NPPES update
2008-07-14
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
715 Northside Dr E, Suite 5 Pmb 398
Statesboro, GA 304584712
Mailing address
127 N College St
Statesboro, GA 304585387
Authorized official
Michael Deal, MD
Owner
📞 9124893325
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Athena Chapel, D.M.D. Dentist NPI 1194981662
- Mital Patel, PHARM. D. Pharmacist NPI 1346547692
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10051619 | AMERIGROUP |
| 05 (GA) | 000372391G | |
| 01 (GA) | 354428 | WELLCARE |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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