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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRAYSON PEDIATRICS, LLC
NPI 1083026066
Pediatrics in Grayson, GA

Active since May 27, 2014CLIA 11D2291544 · Waiver
2065 GRAYSON HWY, SUITE A, GRAYSON, GA 30017(404) 271-0709 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Grayson Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYSON PEDIATRICS, LLC (NPI 1083026066) is a healthcare organization registered as a pediatrics in Grayson, Georgia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through October 11, 2027, maintains a secondary practice location in Monroe, and lists Julie A Opeka, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083026066
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGRAYSON PEDIATRICS, LLC
Location Address2065 GRAYSON HWY, SUITE AGrayson, GA 30017-1766
Mailing Address297 Cooper RdLoganville, GA 30052-2518 · (678) 381-2630 · Fax (678) 381-2627
Phone(404) 271-0709
Organization SubpartNo
Authorized OfficialJulie A OpekaCfo · (678) 381-2630
Enumeration DateMay 27, 2014
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1083026066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
2065 GRAYSON HWY, Grayson, GA 30017
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Secondary Practice Location 1

Location 180 Parker DrMonroe, GA 30656-1100 · Phone (678) 381-2630 · Fax (678) 381-2627

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2291544

Grayson Pediatrics, LLC · Monroe, GA
Active · expires Oct 11, 2027
CLIA Number11D2291544
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorJulie Opeka
Laboratory Phone(678) 381-2630
Laboratory LocationGrayson Pediatrics, LLC80 Parker Drive, Monroe, GA 30656
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2119083

Grayson Pediatrics, LLC · Loganville, GA
Expired · Sep 19, 2026
CLIA Number11D2119083
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorJulie A. Opeka
Laboratory Phone(678) 381-2630
Laboratory LocationGrayson Pediatrics, LLC297 Cooper Road, Loganville, GA 30052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grayson Pediatrics, LLC's NPI number?

The NPI number for Grayson Pediatrics, LLC is 1083026066. It was assigned to this organization in the NPPES registry on May 27, 2014.

Where is Grayson Pediatrics, LLC located?

Grayson Pediatrics, LLC is located at 2065 Grayson Hwy Suite A, Grayson, GA 30017. The listed phone number is (404) 271-0709.

What is Grayson Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Grayson Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2291544) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grayson Pediatrics, LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.