Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Georgia Pediatrics, PC

Organization Specialist · NPI 1578797627

South Georgia Pediatrics, PC provides Specialist services in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
Specialties on file
2
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

1230 Brampton Ave
Statesboro, GA 30458-0849 Not confirmed with CMS for 17 years — call before visiting
Phone: (912) 489-5437
Fax: (912) 489-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 044756 (GA)
Clinic/Center Taxonomy 261Q00000X · Licence APPLIED FOR (GA)

Record details

NPI number1578797627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rao Immaneni — Ceo · (912) 247-0409
NPI enumeratedMay 5, 2009
Last updated in NPPESMay 7, 2009
Mailing addressPo Box 1039, Statesboro, GA 30459-1039

Other providers in Statesboro