# SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578776381
- **Authorized official:** DR. ALAN JOSEPH ALVARADO MD (PRESIDENT)
- **Authorized official phone:** (229) 247-2211

## Contact information

- **Practice address:** 3440 N VALDOSTA RD, VALDOSTA, GA 31602-1079
- **Practice address phone:** (229) 247-2211
- **Practice address fax:** (229) 247-9313
- **Mailing address:** 3440 N VALDOSTA RD, VALDOSTA, GA 31602-1079
- **Mailing address phone:** (229) 247-2211
- **Mailing address fax:** (229) 247-9313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 037463 | GA | — |
| 208000000X | Pediatrics Physician | 037463 | GA | — |
| 208000000X | Pediatrics Physician | 048706 | GA | — |
| 208000000X | Pediatrics Physician | 053436 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 037463 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 048706 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 053436 | GA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 09/11/2025