OrganizationActive
Southern Pediatric Clinic, LLC
NPI 1982858767 · Pediatrics Physician · Valdosta, GA
Southern Pediatric Clinic, LLC is a Pediatrics Physician organization in Valdosta, GA (NPI 1982858767).
Provider details
- NPI number
- 1982858767
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlene Blache, Owner/Physician(229) 241-0059
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
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
406 M Northside Drive
Valdosta, GA 31602
Phone: (229) 241-0059
Fax: (229) 241-0059
Street-level locationGet directions
Mailing address
406 M Northside Drive
Valdosta, GA 31602
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2017-02-03
Frequently asked questions
- What is Southern Pediatric Clinic, LLC's NPI number?
- Southern Pediatric Clinic, LLC's National Provider Identifier (NPI) is 1982858767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pediatric Clinic, LLC?
- Southern Pediatric Clinic, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Pediatric Clinic, LLC located?
- Southern Pediatric Clinic, LLC's practice location on file with NPPES is 406 M Northside Drive, Valdosta, GA 31602.
- What is Southern Pediatric Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pediatric Clinic, LLC is (229) 241-0059.
- Who is the authorized official for Southern Pediatric Clinic, LLC?
- The authorized official listed on Southern Pediatric Clinic, LLC's NPPES record is Charlene Blache, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pediatric Clinic, LLC's NPI active?
- Yes — Southern Pediatric Clinic, LLC's NPI (1982858767) is active in the NPPES registry as of the last update on 2017-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.