What is Eastman Pediatric Clinic's NPI number?

Eastman Pediatric Clinic's National Provider Identifier (NPI) is 1104034511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Eastman Pediatric Clinic?

Eastman Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Eastman Pediatric Clinic located?

Eastman Pediatric Clinic's practice location on file with NPPES is 1223 Plaza Ave, Eastman, GA 31023-6763.

What is Eastman Pediatric Clinic's phone number?

The practice phone number listed in the NPPES registry for Eastman Pediatric Clinic is (478) 374-3814.

Who is the authorized official for Eastman Pediatric Clinic?

The authorized official listed on Eastman Pediatric Clinic's NPPES record is Johnny Peeples, President-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Eastman Pediatric Clinic's NPI active?

Yes — Eastman Pediatric Clinic's NPI (1104034511) is active in the NPPES registry as of the last update on 2007-09-19.

OrganizationActive

Eastman Pediatric Clinic

NPI 1104034511 · Pediatrics Physician · Eastman, GA

Eastman Pediatric Clinic is a Pediatrics Physician organization in Eastman, GA (NPI 1104034511).

Provider details

NPI number: 1104034511
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Johnny Peeples, President-Owner(478) 374-3814

Practice location

1223 Plaza Ave

Eastman, GA 31023-6763

Phone: (478) 374-3814

Fax: (478) 374-1478

Street-level locationGet directions

More GA providers

Mailing address

1223 Plaza Ave

Eastman, GA 31023-6763

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000X
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-05-18
Last updated: 2007-09-19

Frequently asked questions

What is Eastman Pediatric Clinic's NPI number?: Eastman Pediatric Clinic's National Provider Identifier (NPI) is 1104034511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Eastman Pediatric Clinic?: Eastman Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
Where is Eastman Pediatric Clinic located?: Eastman Pediatric Clinic's practice location on file with NPPES is 1223 Plaza Ave, Eastman, GA 31023-6763.
What is Eastman Pediatric Clinic's phone number?: The practice phone number listed in the NPPES registry for Eastman Pediatric Clinic is (478) 374-3814.
Who is the authorized official for Eastman Pediatric Clinic?: The authorized official listed on Eastman Pediatric Clinic's NPPES record is Johnny Peeples, President-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Eastman Pediatric Clinic's NPI active?: Yes — Eastman Pediatric Clinic's NPI (1104034511) is active in the NPPES registry as of the last update on 2007-09-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions