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PEDIATRICARE OF NORTHERN VIRGINIA, P.C.
NPI 1104994623
Pediatrics in Manassas, VA

Active since December 01, 2006CLIA 49D1105606 · Waiver
8640 SUDLEY RD, SUITE 306, MANASSAS, VA 20110(703) 330-3939(703) 331-0959 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatricare Of Northern Virginia, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRICARE OF NORTHERN VIRGINIA, P.C. (NPI 1104994623) is a healthcare organization registered as a pediatrics in Manassas, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Frank James Giancola, President, as its authorized official.

NPPES Registry Identity

NPI1104994623
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICARE OF NORTHERN VIRGINIA, P.C.
Location Address8640 SUDLEY RD, SUITE 306Manassas, VA 20110-4420
Mailing Address8640 Sudley Road, Suite 306Manassas, VA 20110-4404 · (703) 330-3939 · Fax (703) 331-0959
Phone(703) 330-3939
Fax(703) 331-0959
Organization SubpartNo
Authorized OfficialFrank James GiancolaPresident · (703) 330-3939
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104994623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
8640 SUDLEY RD, Manassas, VA 20110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1105606

Pediatric Care Of Northern Virginia · Haymarket, VA
Active · expires Sep 24, 2027
CLIA Number49D1105606
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorFrank J. Giancola
Laboratory Phone(703) 330-3939
Laboratory LocationPediatric Care Of Northern Virginia15195 Heathcote Boulevard - Suite 250, Haymarket, VA 20169
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0918354

Pediatricare Of Northern Virginia, PC · Manassas, VA
Expired · Aug 5, 2026
CLIA Number49D0918354
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorFrank J. Giancola, MD
Laboratory Phone(703) 330-3939
Laboratory LocationPediatricare Of Northern Virginia, PC8640 Sudley Road - Suite 306, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT A W LATIMER M.D.
Family Medicine
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161
CRYSTAL ANN MCGOVERN N.P.
Nurse Practitioner (Family)
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
JANET L BRESLIN CFNP
Nurse Practitioner
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161
MELISSA MEHIEL
Nurse Practitioner
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
8640 SUDLEY RD, SUITE 302
MANASSAS, VA 20110
Manassas City (703) 369-5959
SARAH A BRADY NP-C
Nurse Practitioner
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Family Medicine
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161
JOSEPH F CHAMBERS M.D.
Family Medicine
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatricare Of Northern Virginia, P.C.'s NPI number?

The NPI number for Pediatricare Of Northern Virginia, P.C. is 1104994623. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Pediatricare Of Northern Virginia, P.C. located?

Pediatricare Of Northern Virginia, P.C. is located at 8640 Sudley Rd Suite 306, Manassas, VA 20110. The listed phone number is (703) 330-3939.

What is Pediatricare Of Northern Virginia, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatricare Of Northern Virginia, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1105606) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatricare Of Northern Virginia, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.