Pediatric Services Of America, Llc, NPI 1093746430
Nursing Care Agency in Macon, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093746430 |
| NPI Entity Type | Organization |
| Provider Name |
Pediatric Services Of America, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3312 Northside Drive, Suite C161, Macon, GA, US |
| Provider Mailing Address | 400 Interstate North Pkwy Se Ste 1600, Atlanta, GA, US, 303395047 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Vicki Whiteside |
| Official Position | AVP, REGULATORY LICENSING |
| Phone | 770-248-8740 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Nursing Care Agency |
| Classification | |
| Group | |
| License No. | 011-R-0026 |
| License State | GA |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 011-268 | GA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 675782530A | GA | MEDICAID | 05 |
| 000426676I | GA | MEDICAID | 05 |
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