SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER – NPI #1578776381
Pediatrics

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.

SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER is a provider located in VALDOSTA, GA. NPPES has assigned the NPI number 1578776381 to SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was last updated on Sep 11, 2025. 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 SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER below.

NPI Profile for
SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER

NPI Number
1578776381
Enumeration Date

(more than 19 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
SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER
Primary location
3440 N VALDOSTA RD
VALDOSTA, GA 31602-1079
Phone: (229) 247-2211 Fax: (229) 247-9313
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALAN ALVARADO
PRESIDENT
Phone: (229) 247-2211
Updated
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
GA 053436
208000000X
- Pediatrics
GA 053436
207K00000X
- Allergy & Immunology
GA 037463

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.