PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1659391944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659391944 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
2065 Airport Blvd Suite 400 Pensacola FL 32504-5931 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 8504444365 |
| Practice Fax Number | 8504444393 |
| Mailing Telephone | 7704411580 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251J00000X | Nursing Care | HHA21913096 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 650574100 | 05 | |
| FL | 650448596 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275069874 | Pediatric Services of America, Inc. | Nursing Care | 803 Jenks Ave Ste 6, Panama City, FL 32401-2568 | 2017-05-03 |
| 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 |
| 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 |
2065 AIRPORT BLVD SUITE 400 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183153 | Gulf Breeze Physical Therapy Inc. | Clinic/Center | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2005-06-13 |
| 1811540016 | Kristin Nicole Kimpan | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504 | 2019-07-17 |
| 1184040990 | Richard Edward Chambers II | Physical Therapist | 2065 Airport Blvd, Pensacola, FL 32504-5931 | 2014-03-17 |
| 1184062440 | Deryke A Golden | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2013-06-10 |
| 1992093702 | Amy N. Odom | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2011-07-13 |
| 1538464144 | Kelly Land | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2011-01-13 |
| 1508179474 | Jennifer L Bagozzi | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1366085664 | Selina Jones | Nursing Care | 3025 N Q St, Pensacola, FL 32505-5639 | 2019-10-20 |
| 1154624310 | Daniel E Macias Phd LLC | Nursing Care | 4300 W Francisco, # 4, Pensacola, FL 32504-9073 | 2010-12-09 |
| 1639492903 | Nursefinders of Pensacola, LLC | Nursing Care | 5498 N Davis Hwy, Pensacola, FL 32503-2007 | 2010-03-01 |
| 1194885350 | Prn of Nw Florida Inc | Nursing Care | 2 Sugar Bowl Lane, Pensacola, FL 32561 | 2006-12-11 |
| 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 | ||||
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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.