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PEDIATRIA HEALTHCARE, LLC
NPI 1457539090
Clinic/Center - Medically Fragile Infants and Children Day Care in Tucker, GA

Active since February 06, 2008
1967 LAKESIDE PKWY, SUITE 420, TUCKER, GA 30084(770) 414-0055(770) 414-0045 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatria Healthcare, Llc NPPES

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

PEDIATRIA HEALTHCARE, LLC (NPI 1457539090) is a healthcare organization registered as a medically fragile infants and children day care in Tucker, Georgia and active in the NPI registry since February 2008. The organization lists Robbie Kilinski, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1457539090
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address1967 LAKESIDE PKWY, SUITE 420Tucker, GA 30084-5867
Mailing Address5185 Peachtree Pkwy, Ste 350Norcross, GA 30092-6542 · (770) 840-1966 · Fax (770) 840-1901
Phone(770) 414-0055
Fax(770) 414-0045
Organization SubpartYes
Authorized OfficialRobbie KilinskiVp Of Business Operations · (770) 840-1966
Enumeration DateFebruary 6, 2008
Last NPPES UpdateMay 22, 2008
✔ NPI 1457539090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License✔ Licensed in GA · CCLC-18589
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
1967 LAKESIDE PKWY, Tucker, GA 30084
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Other Identifiers 1

Medicaid656991060BGA

Other Providers at the Same Location NPPES 4

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

NISU HERRERA LCSW
Social Worker (Clinical)
1967 LAKESIDE PKWY
TUCKER, GA 30084
Dekalb County (404) 327-5820
MISS CHRISTI JENKINS MCDONALD DPT
Physical Therapist (Pediatrics)
1967 LAKESIDE PKWY, SUITE 420
TUCKER, GA 30084
Dekalb County (770) 414-0055
MRS. JENNY COHAN BEAUCHAMP PT
Physical Therapist (Pediatrics)
1967 LAKESIDE PKWY, SUITE 420
TUCKER, GA 30084
Dekalb County (770) 414-0055
MISS CARLA JEAN GIGNILLIAT MA, CCC-SLP
Speech-Language Pathologist
1967 LAKESIDE PKWY, SUITE 420
TUCKER, GA 30084
Dekalb County (770) 414-0055

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 1457539090. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 1967 Lakeside Pkwy Suite 420, Tucker, GA 30084. The listed phone number is (770) 414-0055.

What is Pediatria Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

When was this NPI record last updated?

The NPPES record for Pediatria Healthcare, LLC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.