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ATLANTA PEDIATRIC HEALTHCARE, LLC
NPI 1174174445
Home Health in Fayetteville, GA

Active since September 26, 2019
320 LANIER AVE W STE 259, FAYETTEVILLE, GA 30214(770) 250-7477 Get Directions Write a Review

NPPES record last updated: October 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2022, Sep 1, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Atlanta Pediatric Healthcare, Llc NPPES

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

ATLANTA PEDIATRIC HEALTHCARE, LLC (NPI 1174174445) is a healthcare organization registered as a home health in Fayetteville, Georgia and active in the NPI registry since September 2019. The organization lists Priscella Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1174174445
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameATLANTA PEDIATRIC HEALTHCARE, LLC
Location Address320 LANIER AVE W STE 259Fayetteville, GA 30214-1600
Mailing Address320 Lanier Ave W Ste 259Fayetteville, GA 30214-1600
Phone(770) 250-7477
Organization SubpartNo
Authorized OfficialPriscella GrantOwner · (678) 431-5483
Enumeration DateSeptember 26, 2019
Last NPPES UpdateOctober 30, 20223 updates tracked since enumeration
NPPES CertifiedOctober 30, 2022
✔ NPI 1174174445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
320 LANIER AVE W STE 259, Fayetteville, GA 30214
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Other Identifiers 1

Medicaid003227891AGA

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 Atlanta Pediatric Healthcare, LLC's NPI number?

The NPI number for Atlanta Pediatric Healthcare, LLC is 1174174445. It was assigned to this organization in the NPPES registry on September 26, 2019.

Where is Atlanta Pediatric Healthcare, LLC located?

Atlanta Pediatric Healthcare, LLC is located at 320 Lanier Ave W Ste 259, Fayetteville, GA 30214. The listed phone number is (770) 250-7477.

What is Atlanta Pediatric Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Atlanta Pediatric Healthcare, LLC was last updated on October 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.