CHILDREN FIRST PEDIATRIC CLINIC – NPI #1568766293
Clinic/Center

CHILDREN FIRST PEDIATRIC CLINIC is an AHC clinic located in AUGUSTA, GA. NPPES has assigned the NPI number 1568766293 to CHILDREN FIRST PEDIATRIC CLINIC on January 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHILDREN FIRST PEDIATRIC CLINIC” is a dba name, the actual legal business name for this organization is PEBE MED, INC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN FIRST PEDIATRIC CLINIC below.

NPI Profile for
PEBE MED, INC

NPI Number
1568766293
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEBE MED, INC
Doing Business As (dba): CHILDREN FIRST PEDIATRIC CLINIC
Primary location
1267 INTERSTATE PKWY
AUGUSTA, GA 30909-6481
Phone: (706) 868-0919 Fax: (706) 868-0929
Mailing address
786 LOCKS WAY
MARTINEZ, GA 30907-4976
Phone: (706) 231-5977 Fax: (706) 868-0929
Organization Subpart
No
Authorized Official
ROSALITO CRUZ
CHIEF EXECUTIVE OFFICER
Phone: (706) 231-5977
Updated
Identifiers

Identifiers for CHILDREN FIRST PEDIATRIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000940354E
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
GA 051131

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.