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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1346556917
Nursing Care in Clermont, FL

Active since August 20, 2010CLIA 10D2019159 · Waiver
3105 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL 34711(352) 241-8016(352) 241-8025 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2021, Sep 18, 2019, Mar 18, 2019 and 2 more (5 updates tracked since 2015).

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 1346556917), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Clermont, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346556917
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address3105 CITRUS TOWER BLVD, SUITE AClermont, FL 34711-6892
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(352) 241-8016
Fax(352) 241-8025
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateAugust 20, 2010
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1346556917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in FL · 299993758
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.
Also ListedHome HealthTaxonomy 251E00000X
3105 CITRUS TOWER BLVD, Clermont, FL 34711
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid002835800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.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 10D2019159

Pediatric Services Of America LLC Dba Aveanna Healthcare · Clermont, FL
Active · expires Jan 23, 2027
CLIA Number10D2019159
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorNisbet Quiles
Laboratory Phone(352) 241-8016
Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare3105 Citrus Tower Blvd, Ste A, Clermont, FL 34711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MR. CRAIG A BRADY APRN
Nurse Practitioner (Family)
3105 CITRUS TOWER BLVD
CLERMONT, FL 34711
Lake County (352) 259-2159
SALMA HITAWALA MD
Internal Medicine
3105 CITRUS TOWER BLVD, SUITE A
CLERMONT, FL 34711
Lake County (352) 404-7874
TRI HUYNH DO PLLC
Internal Medicine (Gastroenterology)
3105 CITRUS TOWER BLVD, SUITE B
CLERMONT, FL 34711
Lake County (352) 243-6600

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 1346556917. It was assigned to this organization in the NPPES registry on August 20, 2010. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 3105 Citrus Tower Blvd Suite A, Clermont, FL 34711. The listed phone number is (352) 241-8016.

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 10D2019159) is associated with this NPI, valid through January 23, 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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare 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.