P Praxis·MD
● Active Type 2 · Organization

Pediatric Services Of America, Llc

Nursing Care·Stockbridge, GA· NPI 1639467327 · Enumerated 2011 · 14 years on NPI
Pediatric Services Of America, Llc is 1 of 644 nursing care organizations in Georgia.
NPI age
14 years
Enumerated 2011-07-14
Primary specialty
Nursing Care
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
14 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
225 Country Club Dr Ste 240
Stockbridge, GA 302817339
📞 7708106922fax 7708106930
Mailing address
400 Interstate North Pkwy Se Ste 1600
Atlanta, GA 303395047
📞 4704648000fax 7702488192

Authorized official

Matthew Buckhalter
Cfo
📞 4704648000

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nursing Care Primary
    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...
    GA license #106-R-0941 taxonomy 251J00000X

Identifiers

TypeValueNotes
05 (GA) 675782530B

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Aveanna Heatlhcare
    Type code 3 recorded 2019-03-18

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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