OrganizationActive
Mama Doc Pediatrics, LLC
NPI 1477009181 · Pediatrics Physician · Statesboro, GA
Mama Doc Pediatrics, LLC is a Pediatrics Physician organization in Statesboro, GA (NPI 1477009181).
Provider details
- NPI number
- 1477009181
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Penn, Physician / President(912) 871-5437
- License
- 67374 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
400 East Grady Street
Statesboro, GA 30458
Phone: (912) 871-5437
Fax: (912) 623-2037
Street-level locationGet directions
Mailing address
400 East Grady Street
Statesboro, GA 30458
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Frequently asked questions
- What is Mama Doc Pediatrics, LLC's NPI number?
- Mama Doc Pediatrics, LLC's National Provider Identifier (NPI) is 1477009181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mama Doc Pediatrics, LLC?
- Mama Doc Pediatrics, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mama Doc Pediatrics, LLC located?
- Mama Doc Pediatrics, LLC's practice location on file with NPPES is 400 East Grady Street, Statesboro, GA 30458.
- What is Mama Doc Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mama Doc Pediatrics, LLC is (912) 871-5437.
- Who is the authorized official for Mama Doc Pediatrics, LLC?
- The authorized official listed on Mama Doc Pediatrics, LLC's NPPES record is Elizabeth Penn, Physician / President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mama Doc Pediatrics, LLC's NPI active?
- Yes — Mama Doc Pediatrics, LLC's NPI (1477009181) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.