Active NPI
Magnolia Pediatrics of Virginia
Doing business as Magnolia Pediatrics
- Pediatrics Physician
- Locust Grove, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MAGNOLIA PEDIATRICS OF VIRGINIA
- Doing business as
- Magnolia Pediatrics
Magnolia Pediatrics of Va - Practice address
- 4448 Germanna Hwy Ste 4C
Locust Grove, VA 22508-2012 - Phone
- (540) 755-1714
- Fax
- (540) 779-7832
- NPI assigned
- Jul 15, 2024
- Last updated
- Jul 15, 2024
- 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
- Dr. Margaret Eagan Patterson, MD
- Title
- Owner
- Phone
- (540) 755-1714
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
4448 Germanna Hwy Ste 4C
Locust Grove, VA 22508-2012
Mailing address
11404 Seymour LN
Spotsylvania, VA 22551-4633
Phone (504) 452-3090
Other names 2
- Magnolia Pediatrics
- Magnolia Pediatrics of Va
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 |
|---|---|---|---|
| 49D2301122 | Magnolia Pediatrics of Virginia | Certificate of waiver | Mar 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
4448 Germanna Hwy
Ste 4C
Locust Grove, VA 22508
Phone (540) 755-1714
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Locust Grove, VA
- NPI 1942428925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1457199515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11404 SEYMOUR LN",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225514633",
"telephone_number": "504-452-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 GERMANNA HWY STE 4C",
"city": "LOCUST GROVE",
"state": "VA",
"postal_code": "225082012",
"telephone_number": "540-755-1714",
"fax_number": "540-779-7832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA PEDIATRICS OF VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "EAGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-755-1714",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia Pediatrics of Va",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Locust Grove, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.