PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1962431577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962431577 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
1551 Westbrook Plaza Dr Suite 110 Winston Salem NC 27103-1355 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 3367608599 |
| Practice Fax Number | 3367603849 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-05-08 |
| 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 |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | HC0446 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7100324 | 05 | |
| NC | 3408666 | 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 |
| Street Address |
1551 WESTBROOK PLAZA DR SUITE 110 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830734 | Douglas Lee Metcalf | Internal Medicine | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 | 2005-06-13 |
| 1124571229 | Forsyth Memorial Hospital, Inc | Internal Medicine | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 | 2016-07-26 |
| 1033568886 | Mary Katherine Taylor | Dentist | 1551 Westbrook Plaza Dr, Suite 203, Winston Salem, NC 27103-1355 | 2016-06-11 |
| 1629212113 | Salisbury & Driscoll, D.d.s., P.a. | Clinic/Center | 1551 Westbrook Plaza Dr, Suite 203, Winston Salem, NC 27103-1355 | 2009-04-28 |
| 1518012665 | Paul Lee Salisbury IIi | Dentist | 1551 Westbrook Plaza Dr, Suite 203, Winston Salem, NC 27103-1355 | 2007-01-25 |
| 1548282387 | Chapman & Owens Dds Pllc | Clinic/Center | 1551 Westbrook Plaza Dr, Ste 201, Winston Salem, NC 27103 | 2006-07-24 |
| 1811922008 | Kenneth Etheridge Chapman | Dentist | 1551 Westbrook Plaza Dr, Ste 201, Winston Salem, NC 27103 | 2006-07-12 |
| 1457386641 | Ronald Keith Owens | Dentist | 1551 Westbrook Plaza Dr, Ste 201, Winston Salem, NC 27103 | 2006-07-12 |
| 1083642458 | Jeff L Rickabaugh | Dentist | 1551 Westbrook Plaza Dr, Suite 103, Winston Salem, NC 27103-1355 | 2006-06-28 |
| 1598739823 | Julio R Bravo | Specialist | 1551 Westbrook Plaza Dr, Ste 200, Winston Salem, NC 27103-1355 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1487142725 | Beyond Nursing Staffing Services, LLC | Nursing Care | 3820 Poplar Valley Ln, Winston Salem, NC 27127-4508 | 2018-04-23 |
| 1588718274 | Universal Services | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1437521523 | Sharpe Staffing | Nursing Care | 8011 N Point Blvd, 102, Winston Salem, NC 27106-3879 | 2015-10-28 |
| 1154718278 | Mission Medstaff, LLC | Nursing Care | 3410 Healy Dr, Suite 102, Winston Salem, NC 27103-1403 | 2015-04-16 |
| 1346437274 | Aids Care Service, Inc | Nursing Care | 127 S Poplar St, Winston Salem, NC 27101-3755 | 2007-09-25 |
| 1659490456 | Metro Nursing Inc. | Nursing Care | 1531 Westbrook Plaza Dr, Suite G, Winston Salem, NC 27103-1330 | 2007-03-29 |
| 1861527129 | Delta Home Care, LLC. | Nursing Care | 3410 Healy Dr, Suite 213, Winston Salem, NC 27103-1403 | 2007-02-23 |
| 1477607166 | Universal Services | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1598818445 | Reynolds Home Care | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1598840365 | Universal Services Dba Reynolds Home Care | Nursing Care | 301 N Main St, Suite 2501, Winston Salem, NC 27101-3836 | 2006-10-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.