NPI age
15 years
Enumerated 2011-01-10
● Active Type 2 · Organization
Pebe Med, Inc
Pebe Med, 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
Cruz
Chief Executive Officer
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
15 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1267 Interstate Pkwy
Augusta, GA 309096481
Mailing address
786 Locks Way
Martinez, GA 309074976
Authorized official
Rosalito C Cruz
Chief Executive Officer
📞 7062315977
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000940354E |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Children First Pediatric Clinic
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.