Middle Ga Pediatric Therapy Llc is a
Speech-language Pathologist based in Dry Branch, Georgia. Middle Ga Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4968 Old Gordon Rd, Dry Branch, Georgia. It can be reached at their office (for appointments etc.) via phone at
(478) 621-8763.
NPI number for Middle Ga Pediatric Therapy Llc is 1639095474 and their current mailing address is Po Box 102, Dry Branch, Georgia. Middle Ga Pediatric Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639095474.
Healthcare Provider's Profile
| Full Name | Middle Ga Pediatric Therapy Llc |
|---|
| Type | Facility |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 4968 Old Gordon Rd, Dry Branch, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639095474
- Provider Enumeration Date: 06/25/2026
- Last Update Date: 06/25/2026
Medical Identifiers
Medical identifiers for Middle Ga Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639095474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Middle Ga Pediatric Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Middle Ga Pediatric Therapy Llc Po Box 102, Dry Branch, GA 31020-0102 Ph: () - | Middle Ga Pediatric Therapy Llc 4968 Old Gordon Rd, Dry Branch, GA 31020-1510 Ph: (478) 621-8763 |
Reviews and Comments