Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235380593 Individual Practitioner Female Practitioner

Dr. Afsheen Siddique , MD

Pediatrics • Fort Moore, GA

Professional Overview & Biography Verified Profile Summary

Dr. Afsheen Siddique, MD is a registered healthcare professional specializing in Pediatrics in Fort Moore, GA. Practice services are available at 6600 VAN AALST BLVD BLDG 9250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6600 Van Aalst Blvd Bldg 9250

Fort Moore, GA 319052102

Telephone 7624080374

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Moore, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Moore, 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

CMS Verified: 2024-08-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ZZ 80234

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MS 20414

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AL 34287

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
07372301 (MS)
Commercial Insurance / Payer ID Mississippi Medical License
20414 (MS)

Secondary Practice Locations

2122 Manchester Expy

Columbus, GA 319046878

Phone: 7063202773

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1003165671

Doctor of Medicine (M.D.)

Joanna Wishart , FNP

Nurse Practitioner - Family

NPI 1073076220

Family Nurse Practitioner

Kimberly Whitbeck , RD

Dietitian, Registered

NPI 1073221123

Registered Dietitian

Michael Watson , LICSW

Social Worker - Clinical

NPI 1104482041

Licensed Independent Clinical Social Worker

NPI 1144727272

Doctor of Medicine (M.D.)

Brian Pineda , PA-C

Physician Assistant

NPI 1184333445

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address August 07, 2024

Registered at 2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 319046802 (Tel: 7063203126)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Pediatrics (License #20414 in MS)

📍
Updated Practice Location July 05, 2024

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 319052102 (Tel: 7624080374)

📍
Updated Business Mailing Address July 05, 2024

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 319052102 (Tel: 7624080374)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2024

Pediatrics (License #34287 in AL)

NPI Profile Active December 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2011

Registered at 3650 GROVELAND RD, OCEAN SPRINGS, MS 395645753 (Tel: 2288750780)

📍
Updated Business Mailing Address December 29, 2011

Registered at 3650 GROVELAND RD, OCEAN SPRINGS, MS 395645753 (Tel: 2288750780)

👤
Provider Name / Credentials Updated December 29, 2011

Recorded as AFSHEEN SIDDIQUE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2011

Pediatrics (License #20414 in MS)

🟢
Initial NPI Registration & Enumeration October 06, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235380593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2008
Last Update: August 07, 2024
Sole Proprietor: No

Mailing Address

2300 Manchester Expy Ste 2001a

Columbus, GA 319046802

Phone: 7063203126

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.