NPI age
19 years
Enumerated 2006-10-26
● Active Type 2 · Organization
Primary Pediatrics, Pc
Primary Pediatrics, Pc 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
Slade
President
Last NPPES update
2025-04-09
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
5300 Bowman Rd
MacOn, GA 31210
Mailing address
5300 Bowman Rd
MacOn, GA 31210
Authorized official
Lance Slade, MD
President
📞 4787413007
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Dana Toth, FNP-C Nurse Practitioner NPI 1033743455
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 |
|---|---|---|
| 05 (GA) | 300034047A | |
| 05 (GA) | 003216177A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 1881 Specialist providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- 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.