Grayson Pediatrics, Llc
LBN: Grayson Pediatrics, Llc
Grayson Pediatrics, Llc is an health care organization with primary practice located at 297 Cooper Rd , Loganville GA 30052-2518. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Grayson Pediatrics, Llc can be contacted via phone (678) 381-2630, or through Opeka, Julie A via phone (678) 381-2630.
Contact Information
Primary practice address
297 Cooper Rd
Loganville GA 30052-2518
Phone: (678) 381-2630
Fax: (678) 381-2627
Website:
Authorized official contact:
Name: Opeka, Julie A Certified Pediatric Nurse Practitioner (CPNP)
Phone: (678) 381-2630
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 057218 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN154025 | Georgia |
Profile Details
| NPI number | 1831500370 |
|---|---|
| LBN Legal business name | Grayson Pediatrics, Llc |
| DBA Doing business as | |
| Authorized official | Opeka, Julie A Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2014 |
| Last updated | Aug 18th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831500370 | NPPES |
| Georgia | MEDICAID | 003191294B | |
| Georgia | MEDICAID | 1831365964 | |
| Georgia | MEDICAID | 452405206M | |
| Georgia | MEDICAID | 003215265A | |
| Georgia | MEDICAID | 003109575E | |
| Georgia | MEDICAID | 003172811D | |
| Georgia | MEDICAID | 003172811A |
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