GRAND AVENUE PEDIATRICS
NPI 1356468631
Clinic/Center - Rural Health in Washington, IN
About Grand Avenue Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND AVENUE PEDIATRICS (NPI 1356468631) is a healthcare organization registered as a rural health in Washington, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Anthony Showalter, President Of The Board Of Directors, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Avenue Pediatrics 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.
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 15D0981113
Daviess Community Hospital · Washington, INOther Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, IN 47501
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 Daviess County Hospital's NPI number?
The NPI number for Daviess County Hospital is 1356468631. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Grand Avenue Pediatrics.
Where is Daviess County Hospital located?
Daviess County Hospital is located at 1402 Grand Ave, Washington, IN 47501. The listed phone number is (812) 257-0383.
What is Daviess County Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Daviess County Hospital enrolled in Medicare?
Yes. Daviess County Hospital is registered in the Medicare PECOS enrollment system.
When is Daviess County Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Indiana, Rural Health Clinic) 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.
Does Daviess County Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0981113) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Daviess County Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Daviess County Hospital 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 Daviess County Hospital was last updated on January 2, 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.
# Grand Avenue Pediatrics · NPI 1356468631
Rural Health organization in Washington, Indiana. Organization record, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1356468631 (Entity type: Organization)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Daviess County Hospital
- **Organization subpart:** No
- **Authorized official:** Anthony Showalter, PRESIDENT OF THE BOARD OF DIRECTORS
## Practice location
- **Address:** 1402 GRAND AVE, Washington, IN 47501-2122
- **Phone:** (812) 257-0383 · **Fax:** (812) 257-0433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Indiana, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2021
- **Other identifiers:** Medicaid 100270240C (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356468631) · Data from the CMS NPPES public registry.