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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1639467327
Nursing Care in Stockbridge, GA

Active since July 14, 2011CLIA 11D2031121 · Waiver
225 COUNTRY CLUB DR STE 240, STOCKBRIDGE, GA 30281(770) 810-6922(770) 810-6930 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Mar 18, 2019, Feb 8, 2019 (3 updates tracked since 2019).

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 1639467327), doing business as Aveanna Heatlhcare, is a healthcare organization registered as a nursing care in Stockbridge, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639467327
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address225 COUNTRY CLUB DR STE 240Stockbridge, GA 30281-7339
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(770) 810-6922
Fax(770) 810-6930
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 14, 2011
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1639467327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in GA · 106-R-0941
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.
225 COUNTRY CLUB DR STE 240, Stockbridge, GA 30281
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Other Names 1

Doing Business AsAveanna Heatlhcare

Other Identifiers 1

Medicaid675782530BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.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 11D2031121

Pediatric Services Of America, LLC Dba Aveanna Healthcare · Stockbridge, GA
Active · expires Oct 12, 2027
CLIA Number11D2031121
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorChassie Chairs
Laboratory Phone(770) 810-6922
Laboratory LocationPediatric Services Of America, LLC Dba Aveanna Healthcare225 Country Club Drive, Suite 240, Stockbridge, GA 30281
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

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

SADE SEQUAN GRAHAM
Registered Nurse
225 COUNTRY CLUB DR STE 240
STOCKBRIDGE, GA 30281
Henry County (770) 810-6922

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 1639467327. It was assigned to this organization in the NPPES registry on July 14, 2011. The provider is doing business as Aveanna Heatlhcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 225 Country Club Dr Ste 240, Stockbridge, GA 30281. The listed phone number is (770) 810-6922.

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 11D2031121) is associated with this NPI, valid through October 12, 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 Mending Health 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 with the weekly NPPES data releases published by CMS.