OrganizationActive
The Pediatric Center LLC
NPI 1104047075 · Primary Care Clinic/Center · Cairo, GA
Provider details
- NPI number
- 1104047075
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Cone, Office Manager(229) 226-7544
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 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.
Practice location
980 4th St Se
Cairo, GA 39828-3064
Phone: (229) 377-8560
Fax: (229) 377-4606
Street-level locationGet directions
Mailing address
Po Box 2258
Thomasville, GA 31799-2258
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2009-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.