Pediatric Services of America, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC 1542 Issued in NC

Legal business name

PEDIATRIC SERVICES OF AMERICA, LLC

Practice address

220A N McPherson CH Rd
Fayetteville, NC 28303-4495

Phone

(910) 323-1811

Fax

(910) 323-8551

NPI assigned

Jun 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Buckhalter

Title

Cfo

Phone

(470) 464-8000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Aveanna Healthcare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sleep Disorder Serv of76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Raleigh, NC
  • NPI 1114955309
  NPD tax ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Charlotte, NC
  • NPI 1346278157
  NPD tax ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Raleigh, NC
  • NPI 1962431577
  NPD tax ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Greenville, NC
  • NPI 1992729362
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1174552665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A N MCPHERSON CH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034495",
            "telephone_number": "910-323-1811",
            "fax_number": "910-323-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC 1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408666",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric After Hours Care of Fayetteville
• Pediatric Developmental Therapy
• Pediatric Developmental Therapy
• Pediatric Partners of NC, Inc
• Pediatric Practice
• Hannah Jamie Elyse Peevy, RN, NP, MS
• Harley Pelaez Gaona
• Cesar Pelaez, DMD
• Pelham Home Health Services, Inc
• Pelham Home Health Services, Inc.

• Nursing Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.