Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689669699 Individual Practitioner Female Practitioner

Dr. Tara K Pedigo , MD

Pediatrics • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Tara Pedigo, MD is a registered healthcare professional specializing in Pediatrics in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 30912

Telephone 7067218623
Fax 7067211459
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
179 Specialists

Practicing in Augusta, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN 38825

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3894808 (TN)

Secondary Practice Locations

2863 Highway 45 Byp

Jackson, TN 383053618

Phone: 7316641375

2863 Highway 45 Byp

Jackson, TN 383053618

Phone: 7316641375

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Dr. Noelle Rolle , MD

Internal Medicine - Rheumatology

NPI 1003249194

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

NPI 1003299793

Doctor of Medicine (M.D.)

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Winkler , MD

Radiology - Diagnostic Radiology

NPI 1003846692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 05, 2018

Registered at 1120 15TH ST, AUGUSTA, GA 30912 (Tel: 7067218623)

📍
Updated Business Mailing Address November 05, 2018

Registered at 1120 15TH ST STE BI1056, AUGUSTA, GA 309120004 (Tel: 7067213813)

NPI Profile Active November 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2012

Registered at 2863 HIGHWAY 45 BYP, JACKSON, TN 383053618 (Tel: 7316641375)

📍
Updated Business Mailing Address November 29, 2012

Registered at PO BOX 400, JACKSON, TN 383020400 (Tel: 7314238697)

👤
Provider Name / Credentials Updated November 29, 2012

Recorded as TARA PEDIGO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2012

Pediatrics (License #38825 in TN)

🟢
Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689669699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: November 05, 2018
Sole Proprietor: No

Mailing Address

1120 15th St Ste Bi1056

Augusta, GA 309120004

Phone: 7067213813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.