NPI age
17 years
Enumerated 2009-05-05
● Active Type 2 · Organization
South Georgia Pediatrics, P.c.
South Georgia Pediatrics, P.c. is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Immaneni
Ceo
Last NPPES update
2009-05-07
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
1
In the 7% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1230 Brampton Ave
Statesboro, GA 304580849
Mailing address
Po Box 1039
Statesboro, GA 304591039
Authorized official
Rao Tulasi Immaneni, M.D., F.A.A.P.
Ceo
📞 9122470409
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Rao Immaneni, M.D. Pediatrics NPI 1720196520
- Patricia Moore, FNP-BC, APRN Nurse Practitioner NPI 1356574206
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.
-
Clinic/CenterA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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