INFINITY PEDIATRIC AND ADOLESCENT MEDICINE LLC
NPI 1275121758
Pediatrics in Smithfield, VA

Q: What is Infinity Pediatric And Adolescent Medicine LLC's specialty?

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

Active since January 09, 2021CLIA 49D2215831 · Waiver

1809 S CHURCH ST STE 302, SMITHFIELD, VA 23430(757) 780-8400(757) 432-3279 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Infinity Pediatric And Adolescent Medicine Llc NPPES

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

INFINITY PEDIATRIC AND ADOLESCENT MEDICINE LLC (NPI 1275121758) is a healthcare organization registered as a pediatrics in Smithfield, Virginia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Sandra S. Baucom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275121758

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameINFINITY PEDIATRIC AND ADOLESCENT MEDICINE LLC

Location Address1809 S CHURCH ST STE 302Smithfield, VA 23430-1861

Mailing Address109 Sleepy Ridge CtSuffolk, VA 23435-1357 · (757) 537-1064

Phone(757) 780-8400

Fax(757) 432-3279

Organization SubpartNo

Authorized OfficialSandra S. BaucomCeo · (757) 780-8400

Enumeration DateJanuary 9, 2021

NPPES CertifiedJanuary 9, 2021

✔ NPI 1275121758 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.

1809 S CHURCH ST STE 302, Smithfield, VA 23430

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 49D2215831

Infinity Pediatric And Adolescent Medicine PLLC · Smithfield, VA

Active · expires Mar 7, 2027

CLIA Number49D2215831

Laboratory TypePhysician Office

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorSandra Baucom

Laboratory Phone(757) 780-8400

Laboratory LocationInfinity Pediatric And Adolescent Medicine PLLC1809 S Church St Suite 302, Smithfield, VA 23430

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

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

SANDRA S BAUCOM MD

Pediatrics

1809 S CHURCH ST STE 302
SMITHFIELD, VA 23430

Isle of Wight County (757) 780-8400

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 Infinity Pediatric And Adolescent Medicine LLC's NPI number?

The NPI number for Infinity Pediatric And Adolescent Medicine LLC is 1275121758. It was assigned to this organization in the NPPES registry on January 9, 2021.

Where is Infinity Pediatric And Adolescent Medicine LLC located?

Infinity Pediatric And Adolescent Medicine LLC is located at 1809 S Church St Ste 302, Smithfield, VA 23430. The listed phone number is (757) 780-8400.

What is Infinity Pediatric And Adolescent Medicine LLC's specialty?

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

Does Infinity Pediatric And Adolescent Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2215831) is associated with this NPI, valid through March 7, 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 Infinity Pediatric And Adolescent Medicine LLC was last updated on January 9, 2021. 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.