OrganizationActive
Pediatric Clinic, LLC
NPI 1861785412 · Pediatrics Physician · Hagerstown, MD
Pediatric Clinic, LLC is a Pediatrics Physician organization in Hagerstown, MD (NPI 1861785412).
Provider details
- NPI number
- 1861785412
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jackson Nganga, Medical Director(301) 733-2890
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
324 E Antietam St
Suite 200
Hagerstown, MD 21740-5754
Phone: (301) 733-2890
Fax: (301) 733-2917
Street-level locationGet directions
Mailing address
324 E Antietam St
Hagerstown, MD 21740-5754
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2011-05-16
Frequently asked questions
- What is Pediatric Clinic, LLC's NPI number?
- Pediatric Clinic, LLC's National Provider Identifier (NPI) is 1861785412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Clinic, LLC?
- Pediatric Clinic, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Clinic, LLC located?
- Pediatric Clinic, LLC's practice location on file with NPPES is 324 E Antietam St, Hagerstown, MD 21740-5754.
- What is Pediatric Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Clinic, LLC is (301) 733-2890.
- Who is the authorized official for Pediatric Clinic, LLC?
- The authorized official listed on Pediatric Clinic, LLC's NPPES record is Jackson Nganga, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Clinic, LLC's NPI active?
- Yes — Pediatric Clinic, LLC's NPI (1861785412) is active in the NPPES registry as of the last update on 2011-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.