NPI age
15 years
Enumerated 2011-04-07
● Active Type 2 · Organization
Pediakare Of Newnan, Inc
Pediakare Of Newnan, Inc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Darrah
Ceo
Last NPPES update
2011-04-07
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1111 Bullsboro Dr, Suite 6 And 7
Newnan, GA 302652182
Mailing address
Po Box 9007
Columbus, GA 319089007
Authorized official
Shane B Darrah, M.D.
Ceo
📞 7062434500
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Lori Duckett, MD Pediatrics NPI 1083934608
- Lauren Larkey, PT Physical Therapist NPI 1013096726
- Leauna Merritt, CPNP-PC Nurse Practitioner NPI 1801360094
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 440194601 |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.