NPIMap

Organization Active NPI

Valley Pediatric Group, PLC

  • Pediatrics Physician
  • Waynesboro, VA
National Provider Identifier
1003865122
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VALLEY PEDIATRIC GROUP, PLC
Practice address
108 Community Dr
Waynesboro, VA 22980-9505
Phone
(540) 949-0118
Fax
(540) 932-2059
NPI assigned
May 8, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Gina Taylor Humphries, CMM, CPC
Title
Administrator
Phone
(540) 949-5862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

108 Community Dr
Waynesboro, VA 22980-9505

Mailing address

108 Community Dr
Waynesboro, VA 22980-9505
Phone (540) 949-0118

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0226138Valley Pediatric Group108 Community Drive, Waynesboro, VA 22980Provider-performed microscopyMay 30, 2028

National Provider Directory

National Provider Directory

Locations

19 Green Hills Dr
Verona, VA 24482
Phone (540) 885-8143

108 Community Dr
Waynesboro, VA 22980
Phone (540) 949-0118

Practitioners & affiliated clinicians

Practitioners 10

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1003865122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-949-0118",
            "fax_number": "540-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-949-0118",
            "fax_number": "540-932-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-949-5862",
        "authorized_official_credential": "CMM, CPC"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.