NPI age
14 years
Enumerated 2012-02-07
● Active Type 2 · Organization
Jefferson Pediatrics, Inc.
Jefferson Pediatrics, Inc. is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Officer
Last NPPES update
2012-02-07
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
14 years
↑ 3 yr above 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
2610 Highway 129 N
Jefferson, GA 305492652
Mailing address
2610 Highway 129 N
Jefferson, GA 305492652
Authorized official
Tammy Gail Smith, M.D.
Officer
📞 7063671010
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Dana Irwin, N.P. Nurse Practitioner NPI 1700035797
- Martin Plog, L.P.C. Counselor NPI 1184679680
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10055116 | AMERIGROUP |
| 01 (GA) | 309153 | WELLCARE |
| 05 (GA) | 00608253H |
Practice context
Multi-provider organization. 2 individual providers 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.