Peter R Devries, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1649359233 Issued in VA

Practice address

108 Community Dr
Waynesboro, VA 22980-9505

Phone

(540) 949-0118

Fax

(540) 949-8903

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pdevries@vpg.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Pediatric Group, PLC

  • Pediatrics Physician
  • Waynesboro, VA
  • NPI 1003865122
  NPD (past)
• DHHS PHS Naihs Fort Defiance Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1649359233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DRIVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-949-0118",
            "fax_number": "540-949-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-949-0118",
            "fax_number": "540-949-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Green Hills Driave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "VA",
            "postal_code": "24482",
            "country_code": "US",
            "telephone_number": "540-885-8143",
            "fax_number": "540-886-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "1649359233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1649359233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1649359233",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649359233",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Andrew Davis, DC
• Michelle Lynn Wood Dawson, M.S. CCC-SLP, BCS-S
• Allison Delawder, P.A.
• Robin Melody Delbiondo, CPC
• Cynthia Hall Dent, M.D.
• Landon Diehl, DPT, PT
• Dierdre L. Terlep, DDS, PC
• Dean V Dimotsis, D.P.M.
• Kwadwo Owusu Donkor, ATC
• Mary Elise Christina Dorsett

• Pediatrics Physician in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.