Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Child and Adolescent Medical Providers, PC

Organization Pediatrics Physician · NPI 1215093430

Child and Adolescent Medical Providers, PC provides Pediatrics Physician services in Lavonia, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13375 Jones St Ste C
Lavonia, GA 30553-1147
Phone: (706) 356-5439
Fax: (706) 356-5897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 047486 (GA)

Record details

NPI number1215093430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Martin — Ceo · (706) 356-5439
NPI enumeratedDecember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address13375 Jones St Ste C, Lavonia, GA 30553-1147

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