South Georgia Pediatrics, P.C.
NPI 1578797627 · Specialist · Statesboro, GA
South Georgia Pediatrics, P.C. is a Specialist organization in Statesboro, GA (NPI 1578797627).
Provider details
- NPI number
- 1578797627
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Rao Immaneni, Ceo(912) 247-0409
- License
- APPLIED FOR (GA)
Specialties & taxonomies
Other Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-05-05
- Last updated
- 2009-05-07
Frequently asked questions
- What is South Georgia Pediatrics, P.C.'s NPI number?
- South Georgia Pediatrics, P.C.'s National Provider Identifier (NPI) is 1578797627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Pediatrics, P.C.?
- South Georgia Pediatrics, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is South Georgia Pediatrics, P.C. located?
- South Georgia Pediatrics, P.C.'s practice location on file with NPPES is 1230 Brampton Ave, Statesboro, GA 30458-0849.
- What is South Georgia Pediatrics, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Georgia Pediatrics, P.C. is (912) 489-5437.
- Who is the authorized official for South Georgia Pediatrics, P.C.?
- The authorized official listed on South Georgia Pediatrics, P.C.'s NPPES record is Rao Immaneni, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Pediatrics, P.C.'s NPI active?
- Yes — South Georgia Pediatrics, P.C.'s NPI (1578797627) is active in the NPPES registry as of the last update on 2009-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.