Active NPI
Sourwood Pediatrics, PLLC
- Pediatrics Physician
- Black Mountain, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SOURWOOD PEDIATRICS, PLLC
- Practice address
- 3176 US Highway 70 W
Black Mountain, NC 28711-5526 - Phone
- (828) 419-0483
- Fax
- (828) 740-2914
- NPI assigned
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Kristine Groves, MD
- Title
- Physician
- Phone
- (828) 707-6323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
3176 US Highway 70 W
Black Mountain, NC 28711-5526
Mailing address
3176 US Highway 70 W
Black Mountain, NC 28711-5526
Phone (828) 419-0483
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2330891 | Sourwood Pediatrics, PLLC | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
3176 US Highway 70 W
Black Mountain, NC 28711
Phone (828) 419-0483
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1295718708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1285594572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3176 US HIGHWAY 70 W",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287115526",
"telephone_number": "828-419-0483",
"fax_number": "828-740-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3176 US HIGHWAY 70 W",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287115526",
"telephone_number": "828-419-0483",
"fax_number": "828-740-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOURWOOD PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-18",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "GROVES",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "KRISTINE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "828-707-6323",
"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 Black Mountain, NC
- Soundview Family Care Homes, Inc
- Soundview Family Care Homes, Inc
- Soundview Family Care Homes, Inc
- Soundview Family Care Homes, Inc.
- Source for Chiropractic, Incorporated
- Southeastern Health and Fitness Inc
- Anna Spindler, LAC
- Robert Stephens, PA-C
- Lindsay Mirkin Stewart, M.S., CCC-SLP
- Lisa Henderson Stewart, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.