NPI age
14 years
Enumerated 2011-06-28
● Active
Type 1 · Individual
DR. Liezl Tersol Domingo, M.D.
Domingo is 1 of 7 pediatrics providers in Augusta and 1 of 115 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 115 active pediatrics providers in Georgia.
NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
1 state
22% of peers hold multiple states
Subspecialties
1
In the 39% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Practice location
1120 15th St
Augusta, GA 309127232
Mailing address
1499 Walton Way Ste 1400
Augusta, GA 309012603
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1740 W Taylor St
Chicago, IL 606127232
Specialties
-
Pediatrics PrimaryA pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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