# PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatrix Medical Group of Central Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295827574
- **Authorized official:** DR. MICHAEL D DWYER (ASSISTANT SECRETARY)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Practice address phone:** (954) 384-0175
- **Practice address fax:** (954) 851-1948
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 11/21/2024