PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1346278157
Nursing Care in Charlotte, NC

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

The NPI number for Pediatric Services Of America, LLC is 1346278157. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Aveanna Healthcare.

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

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

Active since June 29, 2006CLIA 34D0933553 · Waiver

4530 PARK RD, STE 105, CHARLOTTE, NC 28209(704) 335-9797(704) 335-9970 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 8, 2019, Jan 11, 2016 (3 updates tracked since 2016).

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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 1346278157), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346278157

Entity TypeOrganization

Primary Taxonomy251J00000X

Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC

Location Address4530 PARK RD, STE 105Charlotte, NC 28209-3716

Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192

Phone(704) 335-9797

Fax(704) 335-9970

Organization SubpartNo

Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000

Enumeration DateJune 29, 2006

Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1346278157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies

Taxonomy Code251J00000X

License✔ Licensed in NC · HC 0181

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.

4530 PARK RD, Charlotte, NC 28209

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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 3

Medicaid7100144NC

Medicaid3408666NC

MedicaidEX0446SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 34D0933553

Pediatric Services Of America LLC Dba Aveanna Healthcare · Charlotte, NC

Active · expires Sep 15, 2027

CLIA Number34D0933553

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorKelly Bjorson

Laboratory Phone(704) 336-9797

Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare4530 Park Road Suite 105, Charlotte, NC 28209

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CNC ACCESS INC

Community/Behavioral Health

4530 PARK RD, SUITE 420
CHARLOTTE, NC 28209

Mecklenburg County (800) 866-0860

KIMBERLY M SEIBERT MSPT

Physical Therapist

4530 PARK RD
CHARLOTTE, NC 28209

Mecklenburg County (704) 523-1432

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 1346278157. It was assigned to this organization in the NPPES registry on June 29, 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 4530 Park Rd Ste 105, Charlotte, NC 28209. The listed phone number is (704) 335-9797.

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 34D0933553) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Blue Cross and Blue Shield of NC list Pediatric Services Of America, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.