PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1275069874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275069874 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
803 Jenks Ave Ste 6 Panama City FL 32401-2568 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 8503877685 |
| Mailing Telephone | 7702488740 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MRS. VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838399 | Pediatric Services of America, Inc. | Nursing Care | 81 Peeples Valley Rd Se Ste 103, Cartersville, GA 30121-6089 | 2015-08-17 |
| 1730568148 | Pediatric Services of America, Inc. | Nursing Care | 238 Littleton Rd Ste 205, Westford, MA 01886-3531 | 2015-05-19 |
| 1487914495 | Pediatric Services of America, Inc. | Nursing Care | 749 Northern Blvd Ste B, South Abington Township, PA 18411-9087 | 2012-05-23 |
| 1871761411 | Pediatric Services of America, Inc. | Nursing Care | 7602 Bridgeport Way W, Suite 2b, Lakewood, WA 98499-2415 | 2008-02-18 |
| 1982733408 | Pediatric Services of America, Inc. | Home Health | 146 New Britain Ave, Plainville, CT 06062 | 2007-03-02 |
| 1962540369 | Pediatric Services of America, Inc. | Home Health | 5313 N Mccoll Rd, Mcallen, TX 78504-2204 | 2007-02-01 |
| 1073650735 | Pediatric Services of America, Inc. | Nursing Care | 920 Davis Rd, Suite 208, Elgin, IL 60123-1390 | 2007-01-31 |
| 1912055732 | Pediatric Services of America, Inc. | Nursing Care | 415 Boston Tpke Ste 101, Shrewsbury, MA 01545-3414 | 2007-01-08 |
| 1164446530 | Pediatric Services of America, Inc. | Clinic/Center | 4051 Phillips Hwy, Suite 2, Jacksonville, FL 32207-9305 | 2006-07-27 |
| 1992729362 | Pediatric Services of America, Inc. | Nursing Care | 1025 W H Smith Blvd, Ste 100, Greenville, NC 27834-5052 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Colorado Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste. 1600, Atlanta, GA 30339-5047 |
| Vermont Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, S, Atlanta, GA 30328 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate N Pkwy Se Ste 1600, Atlanta, GA 30339 |
| Massachusetts Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Indiana Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 310 Technology Pkwy, Norcross, GA 30092 |
| Oklahoma Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | 5834-c Peachtree Corners East, Norcross, GA 30092 |
| Washington State Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste 1600, Atlanta, GA 30339-5047 |
| Street Address |
803 JENKS AVE STE 6 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386788495 | Southern Health Partners, Inc. | Nursing Care | 705 Jenks Ave, Panama City, FL 32401-2529 | 2007-02-20 |
| 1528112778 | United Cerebral Palsy of N Fl's Tender Love and Care | Nursing Care | 1241 N East Ave, Panama City, FL 32401-4426 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628789 | Nurses Vision 2020, LLC | Nursing Care | 8471 Nw 78th Ct, Tamarac, FL 33321-1618 | 2020-10-31 |
| 1538768171 | Amun- Ra Health Services | Nursing Care | 6446 Tabogi Trl, Wesley Chapel, FL 33545-1360 | 2020-10-24 |
| 1316546971 | Aaim Nursing Agency | Nursing Care | 12952 Sw 133rd Ct Ste B, Miami, FL 33186-6175 | 2020-10-23 |
| 1316544760 | Asz Caring Hearts Inc | Nursing Care | 2800 W Oakland Park Blvd Ste 305, Oakland Park, FL 33311-1309 | 2020-10-07 |
| 1063019693 | Front Porch Nurse Registry LLC | Nursing Care | 1680 Sw Bayshore Blvd Ste 112, Port St Lucie, FL 34984-3518 | 2020-10-06 |
| 1750988895 | Coffee & Grace LLC | Nursing Care | 1821 N Pearl St Ste A, Jacksonville, FL 32206-3663 | 2020-10-01 |
| 1508473745 | Atlantic Care Services Clermont LLC | Nursing Care | 15430 County Road 565a Ste P, Groveland, FL 34736-8243 | 2020-09-30 |
| 1851908388 | Atlantic Care Services Haines City LLC | Nursing Care | 651 E Main St Ste 12, Haines City, FL 33844-4241 | 2020-09-29 |
| 1568079069 | Benevolent Heart LLC | Nursing Care | 13366 Ocean Mist Dr, Jacksonville, FL 32258-5204 | 2020-09-28 |
| 1134732910 | Serenity Love and Care LLC | Nursing Care | 1105 Jordan Park St S, St Petersburg, FL 33712-2126 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.