PEDIATRIA HEALTHCARE, LLC (NPI# 1366684185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366684185 |
| Entity Type | Organization |
| Organization Name | PEDIATRIA HEALTHCARE, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
2935 N Ashley St Ste 103 Valdosta GA 31602-1786 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 2293161102 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2935 N Ashley St, Suite 120, Valdosta, GA 316021777 | 7708401966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1134563711 | Pediatria Healthcare, LLC | Home Health | 1185 Jacks Run Rd, S.r. 48, North Versailles, PA 15137-2725 | 2013-04-25 |
| 1508168170 | Pediatria Healthcare, LLC | Home Health | 1167 N Washington St Ste E, Wilkes Barre, PA 18705-1856 | 2010-12-02 |
| 1528210267 | Pediatria Healthcare, LLC | Physical Therapist | 1236 Blountstown Hwy, Building 5, Tallahassee, FL 32304-2715 | 2008-10-14 |
| 1427225523 | Pediatria Healthcare, LLC | Home Health | 7 Harvard St Ste 220, Brookline, MA 02445 | 2008-05-08 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1518132406 | Pediatria Healthcare, LLC | Clinic/Center | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2008-04-23 |
| 1568633071 | Pediatria Healthcare, LLC | Nursing Care | 2420 Double Churches Rd Ste B, Columbus, GA 31909-2984 | 2008-03-13 |
| 1124296389 | Pediatria Healthcare, LLC | Clinic/Center | 25 Chatham Ctr S, Savannah, GA 31405-1302 | 2008-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIA HEALTHCARE, LLC | 5185 Peachtree Parkway, Suite 350, Norcross, GA 30092-6545 |
| Street Address |
2935 N ASHLEY ST STE 103 |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598288474 | Mommie's & Babies Home Care Lllp | Nursing Care | 5336 Branch Point Dr, Valdosta, GA 31605-7073 | 2017-07-21 |
| 1265834246 | Sharleece Bellagosi | Nursing Care | 3801 Spruce Dr, Valdosta, GA 31605-6039 | 2014-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.