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Locust Grove Pediatrics

Pediatrics Physician in Locust Grove, GA · enumerated 2006 · authorized official John Mynatt, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174693519

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Registry record

Entity type Organization (Type 2)
Legal business name Locust Grove Pediatrics
Practice address 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA, 30248
Phone (678) 583-5437
Fax (678) 583-5484
Enumeration date Nov 9, 2006
Last updated in NPPES Sep 10, 2007

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 041469 (GA) Primary

Authorized official

Name John Mynatt
Title Owner
Phone (678) 583-5437

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Locust Grove Pediatrics?
NPPES lists John Mynatt (Owner) as the authorized official for this organization.
What is the NPI number for Locust Grove Pediatrics?
The NPI for Locust Grove Pediatrics is 1174693519, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-10.