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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1730101171
Nursing Care in Norfolk, VA

Active since July 24, 2006CLIA 49D0932600 · Waiver
6330 N CENTER DR, RAPPAHANNOCK BLDG # 13, STE 142, NORFOLK, VA 23502(757) 461-6310(757) 461-6317 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: May 10, 2022, Apr 6, 2021, Jul 9, 2019 and 1 more (4 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 1730101171), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Norfolk, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730101171
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address6330 N CENTER DR, RAPPAHANNOCK BLDG # 13, STE 142Norfolk, VA 23502-4008
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(757) 461-6310
Fax(757) 461-6317
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1730101171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedRespite CareTaxonomy 385H00000X
6330 N CENTER DR, Norfolk, VA 23502
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid8773246VA
Medicaid8750475VA

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 49D0932600

Pediatric Services Of Amercia LLC Dba Aveanna Healthcare · Norfolk, VA
Active · expires Aug 24, 2027
CLIA Number49D0932600
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorDeshaun Thomas
Laboratory Phone(757) 461-6310
Laboratory LocationPediatric Services Of Amercia LLC Dba Aveanna Healthcare6330 North Center Drive - Suite 142 Rappahannock Building - #13, Norfolk, VA 23502
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 7

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

MRS. FARZANA MOHTASHAM MD
Pathology (Anatomic Pathology & Clinical Pathology)
6330 N CENTER DR, BLDG 13 SUITE 220
NORFOLK, VA 23502
Norfolk City (757) 466-0089
NGUYEN DUC NGUYEN
Nurse Practitioner (Psychiatric/Mental Health)
6330 N CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 524-5585
CLYDE W WILCOX JR. MD
Radiology (Diagnostic Radiology)
6330 N CENTER DR, BLDG 13 STE 220
NORFOLK, VA 23502
Norfolk City (757) 466-0089
DWAYNE R COOK HERITAGE MOBILE X-RAY
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
6330 N CENTER DR, SUITE 107
NORFOLK, VA 23502
Norfolk City (757) 466-1163
DR. PATSY J LOIACONO MD
Radiology (Diagnostic Radiology)
6330 N CENTER DR, BUILDING 13 STE 220
NORFOLK, VA 23502
Norfolk City (757) 466-0089
PATHWAYS TO LIFE, INC.
Community/Behavioral Health
6330 N CENTER DR
NORFOLK, VA 23502
Norfolk City (252) 344-7645
MRS. MYYA RAMIREZ M.S.ED, LPC
Counselor (Professional)
6330 N CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 233-0003

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 1730101171. It was assigned to this organization in the NPPES registry on July 24, 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 6330 N Center Dr Rappahannock Bldg # 13, Ste 142, Norfolk, VA 23502. The listed phone number is (757) 461-6310.

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 49D0932600) is associated with this NPI, valid through August 24, 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.