NPIMap

Organization Active NPI

Pediatric Services of America, Inc

Doing business as PSA Healthcare

  • Nursing Care Agency
  • Athens, GA
National Provider Identifier
1356530158
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
029-R-0378 Issued in GA
Legal business name
PEDIATRIC SERVICES OF AMERICA, INC
Doing business as
PSA Healthcare
Practice address
1060 Gaines School Rd
Ste B-2a
Athens, GA 30605-3198
Phone
(706) 353-0712
Fax
(706) 353-7511
NPI assigned
Oct 17, 2007
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dale ValentineNPI 1306915590
Title
VP Compliance
Phone
(770) 248-8757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 029-R-0378 GA Primary

Addresses

Primary practice location

1060 Gaines School Rd
Ste B-2a
Athens, GA 30605-3198

Mailing address

310 Technology Pkwy
Norcross, GA 30092-2932
Phone (770) 441-1580

Other names 1

  • PSA Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Services of76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

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

Locations

1060 Gaines School Rd
Ste B2A
Athens, GA 30605
Phone (706) 353-0712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1356530158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TECHNOLOGY PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922932",
            "telephone_number": "770-441-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD",
            "address_2": "STE B-2A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053198",
            "telephone_number": "706-353-0712",
            "fax_number": "706-353-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "VP COMPLIANCE",
        "authorized_official_telephone_number": "770-248-8757"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "029-R-0378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSA Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.