1. Home
  2. Directory
  3. Virginia
  4. Gainesville
  5. Pediatrics
  6. NPI Profile

WATOTO PEDIATRIC & ADOLESCENT SPECIALTY, LLC
NPI 1457585481
Pediatrics in Gainesville, VA

Active since May 05, 2009CLIA 49D1100236 · Waiver
7915 LAKE MANASSAS DRIVE, SUITE 209, GAINESVILLE, VA 20155(571) 248-0679(571) 261-9549 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Watoto Pediatric & Adolescent Specialty, Llc NPPES

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

WATOTO PEDIATRIC & ADOLESCENT SPECIALTY, LLC (NPI 1457585481) is a healthcare organization registered as a pediatrics in Gainesville, Virginia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Irving C Williams, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1457585481
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWATOTO PEDIATRIC & ADOLESCENT SPECIALTY, LLC
Location Address7915 LAKE MANASSAS DRIVE, SUITE 209Gainesville, VA 20155-3260
Mailing Address7915 Lake Manassas Drive, Suite 209Gainesville, VA 20155-3260 · (571) 248-0679 · Fax (571) 261-9549
Phone(571) 248-0679
Fax(571) 261-9549
Organization SubpartNo
Authorized OfficialIrving C WilliamsPhysician/owner · (571) 248-0679
Enumeration DateMay 5, 2009
✔ NPI 1457585481 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.
7915 LAKE MANASSAS DRIVE, Gainesville, VA 20155
Open in Google Maps ↗

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 49D1100236

Watoto Pediatric & Adolescent Spec LLC · Gainesville, VA
Active · expires Jun 1, 2027
CLIA Number49D1100236
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorIrving C. Williams
Laboratory Phone(571) 248-0679
Laboratory LocationWatoto Pediatric & Adolescent Spec LLC7915 Lake Manassas Drive, Suite 209, Gainesville, VA 20155
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 7

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

LARRY ALLEN NANCE M.D.
Obstetrics & Gynecology
7915 LAKE MANASSAS DRIVE, SUTIE 205
GAINESVILLE, NC 20155
Prince William County (866) 755-3551
DR. EUGENE J LOUIE-NG M.D.
Obstetrics & Gynecology
7915 LAKE MANASSAS DRIVE, SUITE 205
GAINESVILLE, VA 20155
Prince William County (866) 775-3551
MRS. MICHELE SELLERS ALLARD PT
Physical Therapist
7915 LAKE MANASSAS DRIVE, SUITE 305
GAINESVILLE, VA 20155
Prince William County (571) 248-0248
DR. NATASHA KHURANA DDS, IBCLC
Dentist (Pediatric Dentistry)
7915 LAKE MANASSAS DRIVE, SUITE 301
GAINESVILLE, VA 20155
Prince William County (703) 743-5937
DR. JAY MEYER BUKZIN DDS
Dentist (Oral and Maxillofacial Surgery)
7915 LAKE MANASSAS DRIVE, SUITE 115
GAINESVILLE, VA 20155
Prince William County (703) 753-7933
MRS. JENNIFER LEA HEILMAN DPT
Physical Therapist
7915 LAKE MANASSAS DRIVE, SUITE 305
GAINESVILLE, VA 20155
Prince William County (571) 248-0248
MOMENTUM PHYSICAL THERAPY, PLLC
Physical Medicine & Rehabilitation
7915 LAKE MANASSAS DRIVE, SUITE 305
GAINESVILLE, VA 20155
Prince William County (571) 248-0248

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 Watoto Pediatric & Adolescent Specialty, LLC's NPI number?

The NPI number for Watoto Pediatric & Adolescent Specialty, LLC is 1457585481. It was assigned to this organization in the NPPES registry on May 5, 2009.

Where is Watoto Pediatric & Adolescent Specialty, LLC located?

Watoto Pediatric & Adolescent Specialty, LLC is located at 7915 Lake Manassas Drive Suite 209, Gainesville, VA 20155. The listed phone number is (571) 248-0679.

What is Watoto Pediatric & Adolescent Specialty, LLC's specialty?

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

Does Watoto Pediatric & Adolescent Specialty, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1100236) is associated with this NPI, valid through June 1, 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 Watoto Pediatric & Adolescent Specialty, LLC was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.