CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS
NPI 1386652824
Pediatrics in Newport News, VA

Q: What is Children's Medical Group, Inc., D/B/A Liberty Pediatrics's specialty?

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

Active since August 03, 2006CLIA 49D1037077 · Waiver

12705 MCMANUS BLVD, NEWPORT NEWS, VA 23602(757) 668-4800(757) 668-4828 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Medical Group, Inc., D/b/a Liberty Pediatrics NPPES

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

CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS (NPI 1386652824) is a healthcare organization registered as a pediatrics in Newport News, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Kathryn J Abshire, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1386652824

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS

Location Address12705 MCMANUS BLVDNewport News, VA 23602-4459

Mailing Address606 Denbigh Blvd, Suite 400Newport News, VA 23608-4413 · (757) 833-0780 · Fax (757) 833-0783

Phone(757) 668-4800

Fax(757) 668-4828

Organization SubpartNo

Authorized OfficialKathryn J AbshireSenior Vp/cfo · (757) 668-8565

Enumeration DateAugust 3, 2006

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1386652824 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.

12705 MCMANUS BLVD, Newport News, VA 23602

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Other Identifiers 1

Other174005VA · Anthem

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 49D1037077

Children's Medical Group, Inc Dba Liberty Pediatrics · Newport News, VA

Active · expires Sep 7, 2026

CLIA Number49D1037077

Laboratory TypePhysician Office

Certificate Effective DateSeptember 8, 2024

Certificate Expiration DateSeptember 7, 2026

Laboratory DirectorRonda Wall Davis

Laboratory Phone(757) 833-0780

Laboratory LocationChildren's Medical Group, Inc Dba Liberty Pediatrics12705 Mcmanus Boulevard, Newport News, VA 23602

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. AMY E HEDGES MD

Pediatrics

12705 MCMANUS BLVD
NEWPORT NEWS, VA 23602

Newport News City (757) 668-4803

RACHEL MAYER MD

Pediatrics

12705 MCMANUS BLVD
NEWPORT NEWS, VA 23602

Newport News City (757) 668-4800

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 Children's Medical Group, Inc., D/B/A Liberty Pediatrics's NPI number?

The NPI number for Children's Medical Group, Inc., D/B/A Liberty Pediatrics is 1386652824. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Children's Medical Group, Inc., D/B/A Liberty Pediatrics located?

Children's Medical Group, Inc., D/B/A Liberty Pediatrics is located at 12705 Mcmanus Blvd, Newport News, VA 23602. The listed phone number is (757) 668-4800.

What is Children's Medical Group, Inc., D/B/A Liberty Pediatrics's specialty?

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

Does Children's Medical Group, Inc., D/B/A Liberty Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1037077) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Children's Medical Group, Inc., D/B/A Liberty Pediatrics was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.