OrganizationActive
Pathway Pediatric Center LLC
NPI 1790493096 · Pediatrics Physician · Georgetown, FL
Provider details
- NPI number
- 1790493096
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aspen Neace, Ar(386) 316-3904
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
137 S Lake George Dr
Georgetown, FL 32139-3109
Phone: (386) 316-3904
Street-level locationGet directions
Mailing address
137 S Lake George Dr
Georgetown, FL 32139-3109
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.