NPI age
9 years
Enumerated 2016-09-01
● Active Type 2 · Organization
Mama Doc Pediatrics, Llc
Mama Doc Pediatrics, Llc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Penn
Physician / President
Last NPPES update
2016-09-01
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
400 East Grady Street
Statesboro, GA 30458
Mailing address
400 East Grady Street
Statesboro, GA 30458
Authorized official
Elizabeth Logan Penn, M.D.
Physician / President
📞 9128715437
Specialties
-
Pediatrics PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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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.