Pediatrix Medical Group PC
Organization Active NPI Neonatal-Perinatal Medicine Physician · Winchester, VA
NPI 1205928587 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1205928587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- Legal business name
- PEDIATRIX MEDICAL GROUP PC
- Practice address
- 1840 Amherst St FL 1
Winchester, VA 22601-2808 - Phone
- (540) 536-8000
- Fax
- (954) 851-1948
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicholas E. Glaser
- Title
- Assistant Secretary
- Phone
- (954) 384-0175
Corporate family (same tax ID) 9
Practitioners 30
-
Hussien A Al-Shammaa, M. D.,F.A.A.P.
-
Carlos Eladio Armengol, M.D.
-
David Thomas Carpenter, M.D.
-
Jermaine T. Clayborne, MSN, APRN, NNP-BC
-
Lauren Marie Dowden, M.D.
-
Elizabeth Edwards, NNP
-
Ann T Heerens, M.D.
-
Randall Wayne Johnson, M.D.
-
Rebecca Lutz Kimball, MD, MS
-
Corrine R Nelson, MD
-
Theodore Parks, MD
-
Jason Ryan Pryor, M.D.
-
Niharika Samtani, MD
-
Ashby Robert Trundle, M.D.
-
Paul Pence Wisman Jr., M.D.
-
George Jesse Bender III, M.D.
-
Jill M. Meyers, MD
-
Jaclyn A Miller, NP
-
Brownhilda Ngwang, D.O.
National Provider Directory
- Tax ID family
- Pediatrix Medical Group PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | |||
| Neonatal-Perinatal Medicine Physician |
2080N0001X | Yes | ||
| Audiologist |
231H00000X | |||
| Neonatal Nurse Practitioner |
363LN0000X |
Addresses
Primary practice location
1840 Amherst St FL 1
Winchester, VA 22601-2808
Mailing address
PO Box 100445
Atlanta, GA 30384-0445
Phone (954) 384-0175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205928587 | Medicaid | VA |
Other providers in Winchester, VA
- Peace of Mind Personal Growth and Therapeutic Services
- Sharon Peake
- Teresa A Peal
- Pediatric Associates of Winchester
- Pediatric Cardiology of Winchester, LLC
- Sarah Peer
- Jared J Pell
- Jennifer Peluso
- Cathy Pembleton
- Mark Robert Penaranda
All providers in Winchester, VA · Neonatal-Perinatal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.