P Praxis·MD
● Active Type 2 · Organization

The Pediatric Office, Llc

Pediatrics·Evans, GA· NPI 1629025432 · Enumerated 2006 · 19 years on NPI
The Pediatric Office, Llc is 1 of 138 pediatrics organizations in Georgia.
NPI age
19 years
Enumerated 2006-05-27
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cunningham
Office Manager
Last NPPES update
2008-11-05
Source: monthly bulk 2026-05

How this organization compares

Across 138 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
4321 University Pkwy, Suite 104
Evans, GA 308093058
📞 7068542600fax 7068542601
Mailing address
4321 University Pkwy, Suite 104
Evans, GA 308093058
📞 7068542600fax 7068542601

Authorized official

Keelyn Clark Cunningham
Office Manager
📞 7068542600

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    taxonomy 2080A0000X

Identifiers

TypeValueNotes
05 (GA) 300035984A

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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