Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Services of America, LLC

Nursing Care Agency in Jacksonville, FL · enumerated 2006 · authorized official Matthew Buckhalter, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780615047

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Services of America, LLC

Other name <Unavail>

Practice address 8659 Baypine Rd, Ste 102, Jacksonville, FL, 32256

Phone (904) 730-2200

Fax (904) 730-0630

Enumeration date Jul 5, 2006

Last updated in NPPES Jan 27, 2025

Taxonomy & classification

251J00000X Nursing Care Agency Agencies · License HHA 20798096 (FL) Primary

Authorized official

Name Matthew Buckhalter

Title Cfo

Phone (470) 464-8000

Other identifiers

Identifier	Type	State	Issuer
650448500	Medicaid	FL	-
681187696	Medicaid	FL	-
678778965	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-01-27. Verify at npiregistry.cms.hhs.gov.

Where is Pediatric Services of America, LLC located?

The practice location on file with NPPES is in Jacksonville, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-27.