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GRAYSON PEDIATRICS, LLC
NPI 1831500370
Pediatrics in Loganville, GA

Active since May 19, 2014CLIA Certified · 2 labs
297 COOPER RD, LOGANVILLE, GA 30052(678) 381-2630(678) 381-2627 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Aug 18, 2020, Aug 4, 2020 and 2 more (5 updates tracked since 2016).

About Grayson Pediatrics, Llc NPPES

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

GRAYSON PEDIATRICS, LLC (NPI 1831500370) is a healthcare organization registered as a pediatrics in Loganville, Georgia and active in the NPI registry since May 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Monroe, and lists Julie A Opeka, Np, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831500370
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGRAYSON PEDIATRICS, LLC
Location Address297 COOPER RDLoganville, GA 30052-2518
Mailing Address297 Cooper RdLoganville, GA 30052-2518 · (678) 381-2630 · Fax (678) 381-2627
Phone(678) 381-2630
Fax(678) 381-2627
Organization SubpartNo
Authorized OfficialJulie A OpekaNp, Cfo · (678) 381-2630
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 13, 20255 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1831500370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 057218
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN154025 (GA)
297 COOPER RD, Loganville, GA 30052
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Parker DrMonroe, GA 30656-4747 · Phone (678) 381-2630 · Fax (678) 381-2627

Other Identifiers 7

Medicaid003172811AGA
Medicaid1831365964GA
Medicaid003109575EGA
Medicaid003172811DGA
Medicaid003191294BGA
Medicaid003215265AGA
Medicaid452405206MGA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 11D2291544

Grayson Pediatrics, LLC · Monroe, GA
Active · expires Oct 11, 2027
CLIA Number11D2291544
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorJulie Opeka
Laboratory Phone(678) 381-2630
Laboratory LocationGrayson Pediatrics, LLC80 Parker Drive, Monroe, GA 30656
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2119083

Grayson Pediatrics, LLC · Loganville, GA
Active · expires Sep 19, 2026
CLIA Number11D2119083
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorJulie A. Opeka
Laboratory Phone(678) 381-2630
Laboratory LocationGrayson Pediatrics, LLC297 Cooper Road, Loganville, GA 30052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BARBARA JEAN WASHINGTON CPNP
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
CELESTE DAVIS CPNP
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
MRS. NATALIE BROWN SHUMATE CPNP
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (783) 812-6306
JACQUELYN HAIRSTON RN
Registered Nurse
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
MRS. JULIE A OPEKA CPNP
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
JAMIE VILL CPNP-PC
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
KRISTEN PEEK CPNP
Nurse Practitioner (Pediatrics)
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630
DR. MELISSA MERRILL MAGILL MD
Pediatrics
297 COOPER RD
LOGANVILLE, GA 30052
Gwinnett County (678) 381-2630

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 Grayson Pediatrics, LLC's NPI number?

The NPI number for Grayson Pediatrics, LLC is 1831500370. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Grayson Pediatrics, LLC located?

Grayson Pediatrics, LLC is located at 297 Cooper Rd, Loganville, GA 30052. The listed phone number is (678) 381-2630.

What is Grayson Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Grayson Pediatrics, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Grayson Pediatrics, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Grayson Pediatrics, 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 Grayson Pediatrics, LLC was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.