PEDIATRIC SERVICES OF AMERICA, INC (NPI# 1760671572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760671572 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC |
| Other Organization Name | PSA HEALTHCARE |
| Practice Address |
1120 W Broad Ave Unit B-1 Albany GA 31707-4397 |
| Mailing Address |
310 Technology Pkwy Norcross GA 30092-2932 |
| Practice Telephone | 2294353387 |
| Practice Fax Number | 2294353847 |
| Mailing Telephone | 7704411580 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DALE VALENTINE (VP COMPLIANCE) |
| Authorized Official Telephone | 7702488757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 047-R-0377 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 538807248C | 05 |
| Other Name | Type Code |
|---|---|
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284546 | Pediatric Services of America, Inc | Nursing Care | 7602 Bridgeport Way W Ste 2b, Lakewood, WA 98499-2415 | 2014-07-23 |
| 1720499932 | Pediatric Services of America, Inc | Nursing Care | 55 Main St Unit 350, Norwich, CT 06360-5760 | 2014-05-12 |
| 1598185498 | Pediatric Services of America, Inc | Home Health | 1316 Nw John Jones Dr, Burleson, TX 76028-8040 | 2014-04-18 |
| 1639467327 | Pediatric Services of America, Inc | Nursing Care | 225 Country Club Dr Ste 240, Stockbridge, GA 30281-7339 | 2011-07-14 |
| 1831493790 | Pediatric Services of America, Inc | Nursing Care | 6316 Saint Andrews Rd, Ste A, Columbia, SC 29212-3168 | 2011-01-06 |
| 1285897025 | Pediatric Services of America, Inc | Nursing Care | 400 Interstate North Pkwy Se Ste 1600, Atlanta, GA 30339-5047 | 2008-07-02 |
| 1629000914 | Pediatric Services of America, Inc | Home Health | 126 Integra Breeze Ln Ste 3b, Daytona Beach, FL 32117-5554 | 2006-07-07 |
| 1891740601 | Pediatric Services of America, Inc | Nursing Care | 18440 Thompson Ct, Suite 108, Tinley Park, IL 60477-5426 | 2006-05-23 |
| 1104215235 | Pediatric Services of America, Inc | Nursing Care | 1115 Elkton Dr, Ste 102, Colorado Springs, CO 80907-8507 | 2015-01-13 |
| 1821410234 | Pediatric Services of America, Inc | Nursing Care | 1544 E 3rd St, Williamsport, PA 17701-5404 | 2014-01-21 |
| 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 |
| Street Address |
1120 W BROAD AVE UNIT B-1 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063464212 | Albany Area Community Svc. Board | Public Health or Welfare | 1120 W Broad Ave, Albany, GA 31707-4397 | 2006-05-16 |
| 1982035853 | Pamela Hawkins | Registered Nurse | 1120 W Broad Ave, C-3, Albany, GA 31707-4397 | 2013-12-03 |
| 1770914657 | Bertha Mcdonald | Registered Nurse | 1120 W Broad Ave, C-3, Albany, GA 31707-4397 | 2013-12-03 |
| 1467883355 | Michael Bennett | Registered Nurse | 1120 W Broad Ave, Albany, GA 31707-4397 | 2013-12-03 |
| 1013345925 | Edwina Sue Jackson | Registered Nurse | 1120 W Broad Ave, Suite C 4, Albany, GA 31707-4397 | 2013-10-31 |
| 1396920591 | Catherine Greene | Social Worker | 1120 W Broad Ave, Albany, GA 31707-4397 | 2008-01-07 |
| 1659586675 | Annette Scott | Counselor | 1120 W Broad Ave, Suite A-3, Albany, GA 31707-4397 | 2007-05-12 |
| 1104031129 | Mika Rivers Krewer | Counselor | 1120 W Broad Ave, Suite C-4, Albany, GA 31707-4397 | 2007-05-12 |
| 1538374558 | Bennie Cecilia Mattox | Social Worker | 1120 W Broad Ave, Suite C-4, Albany, GA 31707-4397 | 2007-05-12 |
| 1447307400 | Albany Area Csb | Public Health or Welfare | 1120 W Broad Ave, Albany, GA 31707-4397 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| 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 |
|---|---|---|---|---|
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| 1740833532 | Aniya D Johnson | Nursing Care | 191 N Lake Ave, Albany, NY 12206-2726 | 2019-07-20 |
| 1184101214 | International Reconciliation Ministries | Nursing Care | 453 Livingston Ave Apt 1b, Albany, NY 12206-2819 | 2018-07-21 |
| 1184264509 | Shana Pope | Nursing Care | 230 Washington Avenue Ext, Albany, NY 12203-5390 | 2020-01-14 |
| 1558435966 | Attentive Care of Albany, Inc | Nursing Care | 5 Computer Dr W, Albany, NY 12205-1659 | 2006-11-17 |
| 1447321187 | Apria Health Care of New York State, Inc. | Nursing Care | 12 Petra Ln, Albany, NY 12205-4973 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1992313886 | La Paz Homecare LLC | Nursing Care | 6974 Springwood Dr, Douglasville, GA 30135-1543 | 2020-07-16 |
| 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.