Youthcare,pc
Pediatrics in Warner Robins, GA. Organization (NPI-2).
NPI number1528098993
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528098993
- Entity type
- Organization (NPI-2)
- Legal business name
- Youthcare,pc
- Organization subpart
- No
- Enumeration date
- Jul 3, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 031350 | GA | Yes |
Practice location
233 N Houston RdSuite 140-H
Warner Robins, GA 31093-3074
Phone 478-923-3360 · Fax 478-923-9977
Mailing address
120 Osigian Blvd # BSuite 100
Warner Robins, GA 31088-7880
Phone 478-953-5358 · Fax 478-953-5340
Authorized official
Robert Stephen Wade
Physician
4789233360
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