Organization
PEDIATRIA HEALTHCARE, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
5820 VETERANS PKWY STE 203, COLUMBUS, GA 31904-3469
(706) 322-3693
(706) 322-8443
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
106-R-0416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804642159A
—
GA
Enumeration date
03/13/2008
Last updated
12/29/2025
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