National Provider Identifier Database

PRIMARY PEDIATRICS PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PRIMARY PEDIATRICS, PC
5300 BOWMAN RD
MACON, GA31210
Phone: 478-741-3007
Fax: 478-200-1960
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PRIMARY PEDIATRICS, PC

NPI Number 1477638575
Legal business name
LBN
PRIMARY PEDIATRICS, PC
Authorized official LANCE SLADE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/26/2006
Last updated 04/09/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003216177A
  • GA Medicaid: 300034047A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRIMARY PEDIATRICS, PC

There are currently no reviews for PRIMARY PEDIATRICS, PC


NPIdb - Home
v2.201