PEDIATRIA HEALTHCARE, LLC
NPI 1366684185
Nursing Care in Valdosta, GA

Active since March 25, 2009CLIA 11D1097726 · Waiver
2935 N ASHLEY ST STE 103, VALDOSTA, GA 31602(229) 316-1102 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Feb 8, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Pediatria Healthcare, Llc NPPES

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

PEDIATRIA HEALTHCARE, LLC (NPI 1366684185), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Valdosta, Georgia and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366684185
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address2935 N ASHLEY ST STE 103Valdosta, GA 31602-1786
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMarch 25, 2009
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1366684185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
2935 N ASHLEY ST STE 103, Valdosta, GA 31602

Other Names 1

Doing Business AsAveanna Healthcare

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 11D1097726

Pediatria Healthcare LLC Dba Aveanna Healthcare · Valdosta, GA
Active · expires Sep 14, 2027
CLIA Number11D1097726
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorTheresa Baize
Laboratory Phone(229) 316-1102
Laboratory LocationPediatria Healthcare LLC Dba Aveanna Healthcare2935 North Ashley Street, Suite 103, Valdosta, GA 31602
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 Pediatria Healthcare, LLC's NPI number?

The NPI number for Pediatria Healthcare, LLC is 1366684185. It was assigned to this organization in the NPPES registry on March 25, 2009. The provider is doing business as Aveanna Healthcare.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 2935 N Ashley St Ste 103, Valdosta, GA 31602. The listed phone number is (229) 316-1102.

What is Pediatria Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Pediatria Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1097726) is associated with this NPI, valid through September 14, 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 Pediatria Healthcare, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.