Southeast Pediatrics
NPI 1790844819 · Pediatrics Physician · Tuskegee, AL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Pediatrics is a Pediatrics Physician organization in Tuskegee, AL (NPI 1790844819).
Provider details
- NPI number
- 1790844819
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mollie Walker, Offiicer(334) 724-0550
- License
- 0011822 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Pediatrics's NPI number?
- Southeast Pediatrics's National Provider Identifier (NPI) is 1790844819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Pediatrics?
- Southeast Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Pediatrics located?
- Southeast Pediatrics's practice location on file with NPPES is 804 Crawford St, Tuskegee, AL 36083-7262.
- What is Southeast Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Southeast Pediatrics is (334) 724-0350.
- Does Southeast Pediatrics accept Medicare?
- Southeast Pediatrics is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Pediatrics?
- The authorized official listed on Southeast Pediatrics's NPPES record is Mollie Walker, Offiicer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Pediatrics's NPI active?
- Yes — Southeast Pediatrics's NPI (1790844819) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.