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RIVERTOWN PEDIATRICS P.C. NPI 1346336203


NPI Information

NPI: 1346336203
Provider Name: RIVERTOWN PEDIATRICS, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0679957

Address:
2416 CAPSTONE CT
COLUMBUS, GA
ZIP 31909
Phone: (706) 327-1281
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RIVERTOWN PEDIATRICS, P.C. is a pediatrics in Columbus, GA. The provider is a 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RIVERTOWN PEDIATRICS, P.C. NPI is 1346336203. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2416 CAPSTONE CT
COLUMBUS, GA
ZIP 31909-795
Phone: (706) 327-1281
Fax: (706) 576-9714

The provider's authorized official is Debra Ledbetter .
The authorized official title is Practice Manager and has the following contact phone number (706) 327-1281.

The CLIA number assigned to this NPI record is 11D0679957 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/20/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528173036MEDICAIDGEORGIA
21073756169MEDICAIDGEORGIA
31235225541MEDICAIDGEORGIA
41558457549MEDICAIDGEORGIA
51780791657MEDICAIDGEORGIA
61861509812MEDICAIDGEORGIA
71275649758MEDICAIDGEORGIA

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: 11/14/2023

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