NPIMap

Organization Active NPI

Childrens Medical Group Inc

Doing business as Pediatric Specialists

  • Pediatrics Physician
  • Norfolk, VA
National Provider Identifier
1104971548
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS MEDICAL GROUP INC
Doing business as
Pediatric Specialists
Practice address
885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800
Phone
(757) 461-6342
Fax
(757) 461-8507
NPI assigned
Jan 24, 2007
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDRENS MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Kathryn J Abshire
Title
Senior VP/Cfo
Phone
(757) 668-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7017

Other practice location 1

155 Kingsley Ln Ste 200
Norfolk, VA 23505-4629
Phone (757) 489-3551

Other practice location 2

612 Kingsborough Sq Ste 301
Chesapeake, VA 23320-5055
Phone (757) 436-1770

Other practice location 3

502 Bud Dr Ste 3
Chesapeake, VA 23322-7931
Phone (757) 312-9220

Other names 1

  • Pediatric Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CMG Ta Pediatric Diag GRP16 organizations share this tax ID, including this one
Part of
CMG Ta Pediatric Diag GRP

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

502 Bud Dr
Ste 3
Chesapeake, VA 23322
Phone (757) 312-9220

612 Kingsborough Sq
Ste 301
Chesapeake, VA 23320
Phone (757) 436-1770

155 Kingsley Ln
Ste 200
Norfolk, VA 23505
Phone (757) 489-3551

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1104971548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017",
            "fax_number": "757-668-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD",
            "address_2": "SUITE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-6342",
            "fax_number": "757-461-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Kingsley Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054629",
            "country_code": "US",
            "telephone_number": "757-489-3551",
            "fax_number": "757-489-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Kingsborough Sq Ste 301",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205055",
            "country_code": "US",
            "telephone_number": "757-436-1770",
            "fax_number": "757-436-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Bud Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227931",
            "country_code": "US",
            "telephone_number": "757-312-9220",
            "fax_number": "757-312-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS MEDICAL GROUP INC",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.