NPIMap

Organization Active NPI

Pediatric & Adolescent Health Partners, P.C.

  • Pediatrics Physician
  • Midlothian, VA
National Provider Identifier
1851458178
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC & ADOLESCENT HEALTH PARTNERS, P.C.
Practice address
13821 Village Mill Dr
Suite a
Midlothian, VA 23114-4365
Phone
(804) 794-2821
Fax
(804) 794-4072
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mrs. Serena C Talley
Title
Administrator
Phone
(804) 794-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

13821 Village Mill Dr
Suite a
Midlothian, VA 23114-4365

Mailing address

PO Box 549
Midlothian, VA 23113-0549
Phone (804) 794-2821

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0226406Pediatric and Adolescent Health Partners13821A Village Mill Drive, Midlothian, VA 23114ComplianceMar 14, 2028

National Provider Directory

National Provider Directory

Locations

13821 Village Mill Dr
Ste A
Midlothian, VA 23114
Phone (804) 794-2821

3864B Old Buckingham Rd
Powhatan, VA 23139

3864 Old Buckingham Rd
#B
Powhatan, VA 23139
Phone (804) 794-2821

3864 Old Buckingham Rd
Powhatan, VA 23139

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1851458178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130549",
            "telephone_number": "804-794-2821",
            "fax_number": "804-794-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 VILLAGE MILL DR",
            "address_2": "SUITE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144365",
            "telephone_number": "804-794-2821",
            "fax_number": "804-794-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT HEALTH PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-794-2821",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.

Verify at the official NPI Registry.