PRIVIA PEDIATRIC MEDICAL GROUP OF GEORGIA LLC
NPI 1710385513
Pediatrics in Fayetteville, GA
About Privia Pediatric Medical Group Of Georgia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIVIA PEDIATRIC MEDICAL GROUP OF GEORGIA LLC (NPI 1710385513) is a healthcare organization registered as a pediatrics in Fayetteville, Georgia and active in the NPI registry since December 2014. The organization lists Graham Galka, Senior Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Privia Pediatric Medical Group Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Privia Pediatric Medical Group Of Georgia LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 Privia Pediatric Medical Group Of Georgia LLC's NPI number?
The NPI number for Privia Pediatric Medical Group Of Georgia LLC is 1710385513. It was assigned to this organization in the NPPES registry on December 10, 2014.
Where is Privia Pediatric Medical Group Of Georgia LLC located?
Privia Pediatric Medical Group Of Georgia LLC is located at 101 Yorktown Dr, Fayetteville, GA 30214. The listed phone number is (770) 460-4285.
What is Privia Pediatric Medical Group Of Georgia LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Privia Pediatric Medical Group Of Georgia LLC enrolled in Medicare?
Yes. Privia Pediatric Medical Group Of Georgia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Privia Pediatric Medical Group Of Georgia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Privia Pediatric Medical Group Of Georgia 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. The largest specialties are Pediatric Medicine (9) and Nurse Practitioner (2). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Privia Pediatric Medical Group Of Georgia LLC was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Privia Pediatric Medical Group Of Georgia Llc · NPI 1710385513
Pediatrics organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since December 10, 2014.
## Identity
- **NPI:** 1710385513 (Entity type: Organization)
- **Enumerated:** December 10, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Graham Galka, SENIOR DIRECTOR
## Practice location
- **Address:** 101 YORKTOWN DR, Fayetteville, GA 30214-1578
- **Phone:** (770) 460-4285
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (9), Nurse Practitioner (2); 3 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1710385513) · Data from the CMS NPPES public registry.