VITAL PEDIATRICS FOR COMPLEX KIDS LLC
NPI 1235726837
Pediatrics - Hospice and Palliative Medicine in Brookhaven, GA

Active since December 29, 2020
1086 ARBOR TRCE NE, BROOKHAVEN, GA 30319(404) 310-3252 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vital Pediatrics For Complex Kids Llc NPPES

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

VITAL PEDIATRICS FOR COMPLEX KIDS LLC (NPI 1235726837) is a healthcare organization registered as a hospice and palliative medicine in Brookhaven, Georgia and active in the NPI registry since December 2020. The organization lists Patricia Shearer, President, as its authorized official.

NPPES Registry Identity

NPI1235726837
Entity TypeOrganization
Primary Taxonomy2080H0002X
Legal Business NameVITAL PEDIATRICS FOR COMPLEX KIDS LLC
Location Address1086 ARBOR TRCE NEBrookhaven, GA 30319-5378
Mailing Address1086 Arbor Trce NeBrookhaven, GA 30319-5378 · (404) 310-3252
Organization SubpartNo
Authorized OfficialPatricia ShearerPresident · (404) 310-3252
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1235726837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080H0002X
Definition
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1086 ARBOR TRCE NE, Brookhaven, GA 30319

Other Identifiers 1

Other80510GA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Pediatrics For Complex Kids Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211214002659Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vital Pediatrics For Complex Kids LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1710902820
1086 ARBOR TRCE NE
Brookhaven, GA 30319
(404) 986-8756
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vital Pediatrics For Complex Kids LLC's NPI number?

The NPI number for Vital Pediatrics For Complex Kids LLC is 1235726837. It was assigned to this organization in the NPPES registry on December 29, 2020.

Where is Vital Pediatrics For Complex Kids LLC located?

Vital Pediatrics For Complex Kids LLC is located at 1086 Arbor Trce NE, Brookhaven, GA 30319. The listed phone number is (404) 310-3252.

What is Vital Pediatrics For Complex Kids LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.

Is Vital Pediatrics For Complex Kids LLC enrolled in Medicare?

Yes. Vital Pediatrics For Complex Kids LLC is registered in the Medicare PECOS enrollment system.

When is Vital Pediatrics For Complex Kids LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Vital Pediatrics For Complex Kids LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Vital Pediatrics For Complex Kids LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vital Pediatrics For Complex Kids LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vital Pediatrics For Complex Kids 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 Vital Pediatrics For Complex Kids LLC was last updated on December 29, 2020. 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.