NPIMap

Organization Active NPI

Pediatria Healthcare, LLC

  • Medically Fragile Infants and Children Day Care
  • Savannah, GA
National Provider Identifier
1124296389
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
CCLC-20996 Issued in GA
Legal business name
PEDIATRIA HEALTHCARE, LLC
Practice address
25 Chatham Ctr S
Savannah, GA 31405-1302
Phone
(912) 447-5437
Fax
(912) 447-9584
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization
PEDIATRIA HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Robbie Kilinski
Title
VP of Business Operations
Phone
(770) 840-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X CCLC-20996 GA Primary

Addresses

Primary practice location

25 Chatham Ctr S
Savannah, GA 31405-1302

Mailing address

5185 Peachtree Pkwy
Ste 350
Norcross, GA 30092-6542
Phone (770) 840-1966

Other identifiers 1

IdentifierTypeStateIssuer
015955288BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Pediatria Healthcare LLC26 organizations share this tax ID, including this one
Part of
Pediatria Healthcare LLC

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1124296389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "STE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "770-840-1966",
            "fax_number": "770-840-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHATHAM CTR S",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051302",
            "telephone_number": "912-447-5437",
            "fax_number": "912-447-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIA HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIA HEALTHCARE, LLC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "KILINSKI",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "VP OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "770-840-1966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "GA",
            "license": "CCLC-20996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015955288B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.