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SOURWOOD PEDIATRICS, PLLC
NPI 1285594572
Pediatrics in Black Mountain, NC

Active since November 18, 2025CLIA 34D2330891 · Waiver
3176 US HIGHWAY 70 W, BLACK MOUNTAIN, NC 28711(828) 419-0483(828) 740-2914 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sourwood Pediatrics, Pllc NPPES

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

SOURWOOD PEDIATRICS, PLLC (NPI 1285594572) is a healthcare organization registered as a pediatrics in Black Mountain, North Carolina and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Nicole Kristine Groves, Physician, as its authorized official.

NPPES Registry Identity

NPI1285594572
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOURWOOD PEDIATRICS, PLLC
Location Address3176 US HIGHWAY 70 WBlack Mountain, NC 28711-5526
Mailing Address3176 Us Highway 70 WBlack Mountain, NC 28711-5526 · (828) 419-0483 · Fax (828) 740-2914
Phone(828) 419-0483
Fax(828) 740-2914
Organization SubpartNo
Authorized OfficialNicole Kristine GrovesPhysician · (828) 707-6323
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1285594572 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.
3176 US HIGHWAY 70 W, Black Mountain, NC 28711
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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 34D2330891

Sourwood Pediatrics, PLLC · Black Mountain, NC
Active · expires Sep 22, 2027
CLIA Number34D2330891
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorNicole K. Groves
Laboratory Phone(828) 419-0483
Laboratory LocationSourwood Pediatrics, PLLC3176 Us 70 Hwy, Black Mountain, NC 28711
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sourwood Pediatrics, PLLC's NPI number?

The NPI number for Sourwood Pediatrics, PLLC is 1285594572. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Sourwood Pediatrics, PLLC located?

Sourwood Pediatrics, PLLC is located at 3176 Us Highway 70 W, Black Mountain, NC 28711. The listed phone number is (828) 419-0483.

What is Sourwood Pediatrics, PLLC's specialty?

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

Does Sourwood Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2330891) is associated with this NPI, valid through September 22, 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 Sourwood Pediatrics, PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.