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 is a Specialist 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
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