VALENTINE PEDIATRIC GROUP, LLC
NPI 1154904878
Clinic/Center - Primary Care in Decatur, GA

Active since April 30, 2021CLIA 11D2227839 · Waiver
2680 LAWRENCEVILLE HWY STE 100, DECATUR, GA 30033(770) 285-7632 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Apr 30, 2021 (2 updates tracked since 2021).

About Valentine Pediatric Group, Llc NPPES

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

VALENTINE PEDIATRIC GROUP, LLC (NPI 1154904878) is a healthcare organization registered as a primary care in Decatur, Georgia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Jenna Slaughter Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154904878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVALENTINE PEDIATRIC GROUP, LLC
Location Address2680 LAWRENCEVILLE HWY STE 100Decatur, GA 30033-2526
Mailing Address2680 Lawrenceville Hwy Ste 100Decatur, GA 30033-2526 · (770) 515-9898
Organization SubpartNo
Authorized OfficialJenna Slaughter DavisCeo · (248) 240-0988
Enumeration DateApril 30, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1154904878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2680 LAWRENCEVILLE HWY STE 100, Decatur, GA 30033

Other Identifiers 1

Other80692GA · License

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 11D2227839

Valentine Pediatric Group · Decatur, GA
Active · expires Jun 16, 2027
CLIA Number11D2227839
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorJenna Davis
Laboratory Phone(770) 515-9898
Laboratory LocationValentine Pediatric Group2680 Lawrenceville Highway Suite 100, Decatur, GA 30033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2680 LAWRENCEVILLE HWY STE 100
DECATUR, GA 30033

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 Valentine Pediatric Group, LLC's NPI number?

The NPI number for Valentine Pediatric Group, LLC is 1154904878. It was assigned to this organization in the NPPES registry on April 30, 2021.

Where is Valentine Pediatric Group, LLC located?

Valentine Pediatric Group, LLC is located at 2680 Lawrenceville Hwy Ste 100, Decatur, GA 30033. The listed phone number is (770) 285-7632.

What is Valentine Pediatric Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Valentine Pediatric Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2227839) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Valentine Pediatric Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Valentine Pediatric Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Valentine Pediatric Group, LLC was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.