Organization Active NPI

New Heights Pediatrics, LLC

  • Pediatrics Physician
  • King George, VA
National Provider Identifier
1013479682
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEW HEIGHTS PEDIATRICS, LLC
Practice address
8117 Kings Hwy
King George, VA 22485-7068
Phone
(540) 441-0640
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Ayanna J McCray, MD
Title
MD
Phone
(540) 441-0640

Specialties & licenses 1

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

Addresses

Primary practice location

8117 Kings Hwy
King George, VA 22485-7068

Mailing address

8117 Kings Hwy
King George, VA 22485-7068
Phone (540) 441-0640

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
49D2168091New Heights Pediatrics8117 Kings Hwy, King George, VA 22485Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

8117 Kings Hwy
King George, VA 22485
Phone (540) 441-0640

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1013479682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857068",
            "telephone_number": "540-441-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857068",
            "telephone_number": "540-441-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEIGHTS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "540-441-0640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.