Aveanna Healthcare – Nursing Care Agency, NPI 1093746430
Nursing Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Aveanna Healthcare
4931 RIVERSIDE DR STE 300B
MACON, GA 312101193
Phone: (478) 841-2772
Fax: (478) 745-2712
Type: Location
Old Glory Cleaning & Pressure Washing, 3312, Northside Drive, Riverside Park, Macon, Bibb County, Georgia, 31210, United States
SUITE C161
MACON, GA 31210
Phone: (478) 841-2772
Fax: (478) 745-2712
Type: Location
Platinum Tower, 400, Interstate North Parkway Southeast, Atlanta, Cobb County, Georgia, 30339, United States
ATLANTA, GA 303395047
Phone: (470) 464-8000
Fax: (770) 248-8192
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (16 days ago).
Enrollment records
1
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110106000509 | O | Home Health Agency | GA | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31210)
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