NPIMap

Organization Active NPI

Childrens Medical Group Inc

  • Pediatrics Physician
  • Virginia Beach, VA
National Provider Identifier
1649325242
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
Town Center Pediatrics
Practice address
4505 Columbus St Ste 250
Virginia Beach, VA 23462-5011
Phone
(757) 499-7442
Fax
(757) 490-3638
NPI assigned
Jan 24, 2007
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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4505 Columbus St Ste 250
Virginia Beach, VA 23462-5011

Mailing address

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

Other practice location 1

1128 Independence Blvd Ste 100
Virginia Beach, VA 23455-5555
Phone (757) 499-7442

Other names 1

  • Town Center Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tidewater Childresns As16 organizations share this tax ID, including this one
Part of
Tidewater Childresns As

Other organizations with this tax ID 15

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

View all 15

Locations

1128 Independence Blvd
Ste 100
Virginia Beach, VA 23455
Phone (757) 499-7442

4505 Columbus St
Ste 250
Virginia Beach, VA 23462
Phone (757) 499-7442

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": "1649325242",
    "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": "4505 COLUMBUS ST STE 250",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625011",
            "telephone_number": "757-499-7442",
            "fax_number": "757-490-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Independence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234555555",
            "country_code": "US",
            "telephone_number": "757-499-7442",
            "fax_number": "757-490-3638",
            "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town Center Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, 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.