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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1306878137
Nursing Care in Piedmont, SC

Active since July 06, 2006CLIA 42D0932857 · Waiver
114 COMMONS BLVD, SUITE C, PIEDMONT, SC 29673(864) 295-8655(864) 295-1112 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, May 14, 2019, Jan 11, 2016 (3 updates tracked since 2016).

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 1306878137), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Piedmont, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306878137
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address114 COMMONS BLVD, SUITE CPiedmont, SC 29673-7766
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(864) 295-8655
Fax(864) 295-1112
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1306878137 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.
114 COMMONS BLVD, Piedmont, SC 29673
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

MedicaidNPD 501SC
MedicaidEXG033SC

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 42D0932857

Pediatric Services Of America, LLC D/B/A/ Aveanna Healthcare · Piedmont, SC
Active · expires Aug 28, 2027
CLIA Number42D0932857
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorJennifer Combs
Laboratory Phone(864) 295-8655
Laboratory LocationPediatric Services Of America, LLC D/B/A/ Aveanna Healthcare114 Commons Blvd Suite C, Piedmont, SC 29673
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1306878137. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 114 Commons Blvd Suite C, Piedmont, SC 29673. The listed phone number is (864) 295-8655.

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 42D0932857) is associated with this NPI, valid through August 28, 2027. 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 January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.