COSSIO PEDIATRICS LLC NPI 1083878920

NPI Information

  • NPI: 1083878920
  • Provider Name: COSSIO PEDIATRICS LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 11D0903538
  • Address: 334 STEPHENSON AVE
    SAVANNAH, GA
    ZIP 31405
  • Phone: (912) 354-3130

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NPI Details

COSSIO PEDIATRICS LLC is a specialist in Savannah, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COSSIO PEDIATRICS LLC NPI is 1083878920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

334 STEPHENSON AVE
SAVANNAH, GA
ZIP 31405-929
Phone: (912) 354-3130
Fax: (912) 354-5860

The provider's authorized official is Samantha Fitton .
The authorized official title is Office Manager and has the following contact phone number (912) 354-3130.

The CLIA number assigned to this NPI record is 11D0903538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 10/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036357GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811922693OTHERGEORGIAINDIVIDUAL NATIONAL PROVIDER #
21912938366OTHERGEORGIAINDIVIDUAL NATIONAL PROVIDER #
3000874244AMEDICAIDGEORGIA
41861423295OTHERGEORGIAINDIDIVUAL NATIONAL PROVIDER #
5000872638AMEDICAIDGEORGIA
6000532727AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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