PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1780615047
Nursing Care in Jacksonville, FL

Active since July 05, 2006
8659 BAYPINE RD, STE 102, JACKSONVILLE, FL 32256(904) 730-2200(904) 730-0630 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2021, Mar 18, 2019, Dec 28, 2015 (3 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 1780615047), doing business as Aveanna Heatlhcare, is a healthcare organization registered as a nursing care in Jacksonville, Florida and active in the NPI registry since July 2006. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780615047
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address8659 BAYPINE RD, STE 102Jacksonville, FL 32256-7577
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(904) 730-0630
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1780615047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in FL · HHA 20798096
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.

8659 BAYPINE RD, Jacksonville, FL 32256

Other Names 1

Doing Business AsAveanna Heatlhcare

Other Identifiers 3

Medicaid650448500FL
Medicaid681187696FL
Medicaid678778965FL

Accepted Insurance

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.

Home Health
8659 BAYPINE RD, BUILDING 3, SUITE 200
JACKSONVILLE, FL 32256
Clinical Medical Laboratory
8659 BAYPINE RD, SUITE 307, BUILDING 3
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780615047, enumerated as an "organization" on July 05, 2006.

The provider is located at 8659 BAYPINE RD STE 102 JACKSONVILLE, FL 32256 and the phone number is (904) 730-2200.

Nursing Care with taxonomy code 251J00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.