Able Pediatrics LLC
Pediatrics in Augusta, GA. Organization (NPI-2).
NPI number1669913208
StatusActive
Last updated in NPPESMar 6, 2018
Details
- NPI
- 1669913208
- Entity type
- Organization (NPI-2)
- Legal business name
- Able Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2017
- Last updated
- Mar 6, 2018
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 | – | – | Yes |
Practice location
3727 Executive Center DrAugusta, GA 30907-2398
Phone 706-842-5331 · Fax 706-842-5351
Mailing address
3727 Executive Center DrAugusta, GA 30907-2398
Phone 706-842-5331 · Fax 706-842-5351
Authorized official
Shannon N Myers
Managing Partner
7068425331
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