PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1144984931
Nursing Care in Jacksonville, FL

Active since October 27, 2021CLIA 10D0940357 · Waiver
8659 BAYPINE ROAD, STE 100, BUILDING 3, JACKSONVILLE, FL 32256(904) 730-2200 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Services Of America, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SERVICES OF AMERICA, LLC (NPI 1144984931), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Jacksonville, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Vicki Whiteside, Avp, as its authorized official.

NPPES Registry Identity

NPI1144984931
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address8659 BAYPINE ROAD, STE 100, BUILDING 3Jacksonville, FL 32256
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047
Organization SubpartNo
Authorized OfficialVicki WhitesideAvp · (470) 464-8000
Enumeration DateOctober 27, 2021
NPPES CertifiedSeptember 24, 2021
NPI 1144984931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
8659 BAYPINE ROAD, STE 100, Jacksonville, FL 32256

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid678778965FL

CLIA Laboratory Certificates CMS CLIA

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 10D0940357

Pediatric Services Of America, LLC Dba Aveanna Healthcare · Jacksonville, FL
Active · expires Feb 8, 2028
CLIA Number10D0940357
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorAndrew Vaughn
Laboratory Phone(904) 730-2200
Laboratory LocationPediatric Services Of America, LLC Dba Aveanna Healthcare8659 Baypine Rd, Building 3 Suite 100, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
8659 BAYPINE ROAD, STE 100, BUILDING 3
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Services Of America, LLC's NPI number?

The NPI number for Pediatric Services Of America, LLC is 1144984931. It was assigned to this organization in the NPPES registry on October 27, 2021. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 8659 Baypine Road, Ste 100 Building 3, Jacksonville, FL 32256. The listed phone number is (904) 730-2200.

What is Pediatric Services Of America, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Pediatric Services Of America, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0940357) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.