PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1457389256
Nursing Care in Fort Myers, FL

Active since June 29, 2006
42 BARKLEY CIR STE 3, FORT MYERS, FL 33907(239) 939-3159 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: Mar 15, 2021, Mar 8, 2021, Mar 18, 2020 and 3 more (6 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 1457389256), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Fort Myers, Florida and active in the NPI registry since June 2006. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457389256
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address42 BARKLEY CIR STE 3Fort Myers, FL 33907-4543
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 27, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1457389256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in FL · 21802096
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
42 BARKLEY CIR STE 3, Fort Myers, FL 33907

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid650827800FL
Medicaid680989896FL

Accepted 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 10D1002169

Pediatric Sevices Of America LLC Dba Aveanna Healthcare · Fort Myers, FL
Expired · Jul 29, 2026
CLIA Number10D1002169
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorVanessa Knox
Laboratory Phone(239) 939-3159
Laboratory LocationPediatric Sevices Of America LLC Dba Aveanna Healthcare42 Barkley Circle, Suite #3, Fort Myers, FL 33907
CLIA data matches this NPI record on: 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 1457389256. 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 42 Barkley Cir Ste 3, Fort Myers, FL 33907. The listed phone number is (239) 939-3159.

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

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

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer 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.