PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1962431577
Nursing Care in Raleigh, NC

Active since July 03, 2006CLIA 34D0933804 · Waiver
222 N PERSON ST STE 205, RALEIGH, NC 27601(919) 481-6712(919) 481-9883 Get Directions Write a Review

NPPES record last updated: April 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2026, Apr 13, 2021, May 8, 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 1962431577), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Raleigh, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962431577
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address222 N PERSON ST STE 205Raleigh, NC 27601-1067
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(919) 481-9883
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 5, 20264 updates tracked since enumeration
NPPES CertifiedApril 5, 2026
NPI 1962431577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in NC · HC0446
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.
222 N PERSON ST STE 205, Raleigh, NC 27601

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid3408666NC
Medicaid7100324NC

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 34D0933804

Pediatric Services Of America, LLC Dba Psa Healthcare · Raleigh, NC
Active · expires Sep 22, 2027
CLIA Number34D0933804
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorPaula Hall
Laboratory Phone(919) 481-6712
Laboratory LocationPediatric Services Of America, LLC Dba Psa Healthcare222 N Person Street, Suite 205, Raleigh, NC 27601
CLIA data matches this NPI record on: Address 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 1962431577. It was assigned to this organization in the NPPES registry on July 3, 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 222 N Person St Ste 205, Raleigh, NC 27601. The listed phone number is (919) 481-6712.

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 34D0933804) is associated with this NPI, valid through September 22, 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 Blue Cross and Blue Shield of NC 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 April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.