GRAYSON PEDIATRICS, LLC
NPI 1831500370
Pediatrics in Loganville, GA

Q: 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.

Q: What is Grayson Pediatrics, LLC's specialty?

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

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: August 16, 2026.

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

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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

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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.

JAMIE VILL CPNP-PC

Nurse Practitioner (Pediatrics)