VALLEY PEDIATRIC GROUP, PLC
NPI 1003865122
Pediatrics in Waynesboro, VA

Active since May 08, 2006CLIA 49D0226138 · Microscopy
108 COMMUNITY DR, WAYNESBORO, VA 22980(540) 949-0118(540) 932-2059 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • CLIA Number: 49D0226138
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-30-2028

About VALLEY PEDIATRIC GROUP, PLC

This page provides the complete NPI Profile along with additional information for Valley Pediatric Group, Plc, a pediatrician established in Waynesboro, Virginia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1003865122 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gina Taylor Humphries Cmm, Cpc (Administrator)

NPI
1003865122 Verify this NPI
Provider Name
VALLEY PEDIATRIC GROUP, PLC
Entity Type
Organization
Location Address
108 COMMUNITY DR WAYNESBORO, VA 22980
Location Phone
(540) 949-0118
Location Fax
(540) 932-2059
Mailing Address
108 COMMUNITY DR WAYNESBORO, VA 22980
Mailing Phone
(540) 949-0118
Mailing Fax
(540) 932-2059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2006
Last Update Date
09-12-2014
Code Navigator

A pediatrician like Valley Pediatric Group, Plc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA TAYLOR HUMPHRIES CMM, CPC

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(540) 949-5862

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0226138
Facility Type
Physician Office
Certificate Effective Date
May 31, 2026
Certificate Expiration Date
May 30, 2028
Laboratory Director
STEVEN W. MUMBAUER, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Valley Pediatric Group, Plc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pediatrics
108 COMMUNITY DR
WAYNESBORO, VA 22980
Pediatrics
108 COMMUNITY DR
WAYNESBORO, VA 22980
Pediatrics (Adolescent Medicine)
108 COMMUNITY DR
WAYNESBORO, VA 22980
Pediatrics
108 COMMUNITY DR
WAYNESBORO, VA 22980
Pediatrics
108 COMMUNITY DR
WAYNESBORO, VA 22980
Pediatrics
108 COMMUNITY DR
WAYNESBORO, VA 22980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003865122, enumerated as an "organization" on May 08, 2006.

The provider is located at 108 COMMUNITY DR WAYNESBORO, VA 22980 and the phone number is (540) 949-0118.

Pediatrics with taxonomy code 208000000X.