Children's Healthcare Center, LLC · Pediatrics Physician

510 Washington Ave, Sandersville, GA 31082-1971

Overview

Children's Healthcare Center, LLC is a Pediatrics Physician (organization) practicing in Sandersville, Georgia. The National Provider Identifier (NPI) is #1174466577, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 510 Washington Ave, Sandersville, GA 31082-1971; the contact telephone number is 4784126522, and the fax number is 4784126521. The primary taxonomy of Children's Healthcare Center, LLC is Pediatrics Physician (208000000X). The authorized official for Children's Healthcare Center, LLC is Dr. Christy M Mountain-Bonner (Owner/Ceo).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Information

NPI 1174466577
Entity Type Organization
Organization Name CHILDREN'S HEALTHCARE CENTER, LLC
Provider Name CHILDREN'S HEALTHCARE CENTER, LLC
Practice Address 510 Washington Ave
Sandersville
GA 31082-1971
Practice Telephone 4784126522
Practice Fax Number 4784126521
Mailing Address 510 Washington Ave
Sandersville
GA 31082-1971
Mailing Telephone 4784126522
Mailing Fax Number 4784126521
Certification Date 2026-04-10
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name DR. CHRISTY M MOUNTAIN-BONNER
Official Title OWNER/CEO
Credential MD
Telephone 6787721259

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208000000XPediatrics193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

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Provider NameAddressTaxonomyEnumeration Date
Anari Medical Corp 107 N Maclay Ave, San Fernando, CA 91340-2906Pediatrics Physician2026-03-27
Internal Medicine and Pediatrics of San Diego 8745 Aero Dr Ste 106, San Diego, CA 92123-1763Pediatrics Physician2026-04-06
Sania Wilkins Do,Pc 64 Jamaica Ave, Plainview, NY 11803-3633Pediatrics Physician2026-03-31
Emerald Home Health LLC 8301 White Pine Dr, Fort Worth, TX 76123-1702Pediatrics Physician2026-03-26
Children's Dentistry of Lithonia LLC 7215 Stonecrest Pkwy, Lithonia, GA 30038-2563Pediatrics Physician2026-03-26
Kayla Elizabeth Grooters 1000 Oakland Dr, Kalamazoo, MI 49008-1282Pediatrics Physician2026-04-08
Karessa James 1009 Dunham St Se, Grand Rapids, MI 49506-2658Pediatrics Physician2026-04-10
Doctormarco Pediatrics 1402 E Nolana Loop Ste A, Pharr, TX 78577-0100Pediatrics Physician2026-03-30
Randolph Forbes Wykoff · Randy Wykoff 206 Lake Meadow Dr, Johnson City, TN 37615-4015Pediatrics Physician2026-03-28
Atlee Lambert 2800 S 2nd St Ste B, Cabot, AR 72023-7030Pediatrics Physician2026-04-11
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Location Information

Street Address 510 WASHINGTON AVE
City SANDERSVILLE
State GA
Zip Code 31082-1971
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Zhihao You 510 Washington Ave N, Kent, WA 98032-4453Orthodontics and Dentofacial Orthopedic Dentist2006-11-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Brooke Kaitlin Attaway 601 Ferncrest Dr Ste 2, Sandersville, GA 31082-1892Family Nurse Practitioner2020-04-22
Kasey Brinson Gunter 610 Sparta Rd, Sandersville, GA 31082-1860Speech-Language Pathologist2026-01-12
Leia Eubanks Giddens 528 Sparta Rd, Sandersville, GA 31082-1859Lactation Consultant (Non-RN)2022-09-21
Kaitlin Callaway 501 Sparta Rd Ste F, Sandersville, GA 31082-1392Family Nurse Practitioner2020-01-29
Kali Ann Patterson 524 Sparta Rd, Sandersville, GA 31082-1376Family Nurse Practitioner2024-12-23
Heather Johnson 610 Sparta Rd, Sandersville, GA 31082-1860Physical Therapy Assistant2025-12-29
Layne Harvey Kitchens 501 Sparta Rd, Suite F, Sandersville, GA 31082-1371Adult Health Nurse Practitioner2006-04-20
Jordan Norris 635 Ferncrest Dr Apt 404, Sandersville, GA 31082-1897Behavior Technician2026-02-26
Gina Nicole Mcclarin 610 Ferncrest Dr Ste A, Sandersville, GA 31082-1863Family Nurse Practitioner2017-02-09
Bethaney Elizabeth Hughes 610 Ferncrest Dr Ste A, Sandersville, GA 31082-1863Pediatric Nurse Practitioner2025-10-07
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.