Aveanna Healthcare – Nursing Care Agency, NPI 1699707968

Aveanna Healthcare is a healthcare provider. based in Atlanta, Georgia. specializing in Nursing Care Agency. The organization holds a License No. IS-423 (WA). The NPI Number for Aveanna Healthcare is 1699707968

Main info

Organization
Name
Aveanna Healthcare
NPI
1699707968
Phone
(470) 464-8000
Address
400 INTERSTATE NORTH PKWY SE STE 1600
Authorized Official
MATTHEW BUCKHALTER CFO
Enumeration Date
7 July 2006
Last Update Date
27 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Aveanna Healthcare

  • 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

  • Northeast Highway 99, Vancouver, Clark County, Washington, 98663, United States

    STE 202, BUILDING A

    VANCOUVER, WA 986658961

    Phone: (360) 639-7595

    Fax: (360) 693-7262

    Type: Location

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: 2011-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (253 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110617000120OHome Health AgencyWA2025-09-30

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.

Verify on CMS Revalidation Lookup Tool

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 30339)

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Reviews

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Frequently asked questions

Is there an official ID for Aveanna Healthcare in U.S. healthcare records?
The official identifier for Aveanna Healthcare is NPI 1699707968.
Active or inactive — what applies to Aveanna Healthcare?
You should see Aveanna Healthcare as active in CMS-hosted NPPES data.
What clinical focus is listed for Aveanna Healthcare?
At a glance, Aveanna Healthcare is tied to Nursing Care Agency. Clinical services aligned with this taxonomy classification.
Is Aveanna Healthcare located near Atlanta?
Aveanna Healthcare currently maps to Atlanta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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