NPI age
19 years
Enumerated 2006-07-05
● Active Type 2 · Organization
Pediatric Services Of America, Llc
Pediatric Services Of America, Llc is 1 of 644 nursing care organizations in Georgia.
Primary specialty
Nursing Care
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Buckhalter
Cfo
Last NPPES update
2025-01-27
Source: monthly bulk 2026-05
How this organization compares
Across 644 active nursing care providers in Georgia.
NPI age
19 years
↑ 15 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4931 Riverside Dr Ste 300b
MacOn, GA 312101193
Mailing address
400 Interstate North Pkwy Se Ste 1600
Atlanta, GA 303395047
Authorized official
Matthew Buckhalter
Cfo
📞 4704648000
Specialties
-
Nursing Care PrimaryA 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...
-
Home HealthA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 675782530A | |
| 05 (GA) | 000426676I |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Aveanna Healthcare
Practice context
Single-site organization. Only one practice location on file.
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