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Pediatric Services Of America, Llc
Nursing Care Agency in Macon, Georgia
NPI 1093746430

Pediatric Services Of America, Llc is a Nursing Care Agency based in Atlanta, GA. Pediatric Services Of America, Llc practices in Macon, GA. The NPI Number for Pediatric Services Of America, Llc is 1093746430 and holds a License No. 011-268 (Georgia).

The current practice location address for Pediatric Services Of America, Llc is 4931 Riverside Dr Ste 300B, Macon, GA and can be reached out via phone at 478-841-2772 and via fax at 478-745-2712.

Location: 4931 Riverside Dr Ste 300B, Macon, GA, 30339-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093746430
Provider Name
Pediatric Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
4931 Riverside Dr Ste 300B, Macon, GA, 30339-5047
Phone Number
478-841-2772
Fax Number
478-745-2712
Provider Enumeration Date
07/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000426676I 05 GA
675782530A 05 GA
institution
Provider Business Practice Location Address Details
Address
4931 Riverside Dr Ste 300B
City
Macon
State
Georgia
Zip
31210-1193
Phone Number
478-841-2772
Fax Number
478-745-2712
person
Provider Business Mailing Address Details
Address
4931 Riverside Dr Ste 300B
City
Macon
State
Georgia
Zip
31210-1193
Phone Number
478-841-2772
Fax Number
478-745-2712
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
011-R-0026 (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
011-268 (Georgia)
Definition
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.
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