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BLACKSBURG PEDIATRICS, PLC
NPI 1548719859
Clinic/Center - Primary Care in Blacksburg, VA

Active since September 27, 2016CLIA 49D1106205 · Accreditation
817 DAVIS ST, SUITE A, BLACKSBURG, VA 24060(540) 443-3940(540) 443-3944 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Blacksburg Pediatrics, Plc NPPES

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

BLACKSBURG PEDIATRICS, PLC (NPI 1548719859) is a healthcare organization registered as a primary care in Blacksburg, Virginia and active in the NPI registry since September 2016. The organization holds an CLIA Accreditation certificate valid through September 14, 2026 and lists David Edwin Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1548719859
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLACKSBURG PEDIATRICS, PLC
Location Address817 DAVIS ST, SUITE ABlacksburg, VA 24060-7004
Mailing Address817 Davis St, Suite ABlacksburg, VA 24060-7004 · (540) 443-3940 · Fax (540) 443-3944
Phone(540) 443-3940
Fax(540) 443-3944
Organization SubpartNo
Authorized OfficialDavid Edwin BerryManager · (540) 443-3940
Enumeration DateSeptember 27, 2016
✔ NPI 1548719859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0102052848
817 DAVIS ST, Blacksburg, VA 24060
Open in Google Maps ↗

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 Accreditation 49D1106205

Blacksburg Pediatrics, Plc · Blacksburg, VA
Active · expires Sep 14, 2026
CLIA Number49D1106205
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorMr. David E. Berry
Laboratory Phone(540) 443-3940
Laboratory LocationBlacksburg Pediatrics, Plc829 Davis Street, Blacksburg, VA 24060
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

PLASTIC SURGERY CENTER OF VIRGINIA
Plastic Surgery
817 DAVIS ST, SUITE 2
BLACKSBURG, VA 24060
Montgomery County (540) 951-8885
TOTAL SKIN CARE AND LASER CENTER, LLC
Specialist
817 DAVIS ST, SUITE 2
BLACKSBURG, VA 24060
Montgomery County (540) 951-3429
DR. PHILIP E GRUBBS MD
Plastic Surgery
817 DAVIS ST, SUITE 2
BLACKSBURG, VA 24060
Montgomery County (540) 951-8885

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 Blacksburg Pediatrics, Plc's NPI number?

The NPI number for Blacksburg Pediatrics, Plc is 1548719859. It was assigned to this organization in the NPPES registry on September 27, 2016.

Where is Blacksburg Pediatrics, Plc located?

Blacksburg Pediatrics, Plc is located at 817 Davis St Suite A, Blacksburg, VA 24060. The listed phone number is (540) 443-3940.

What is Blacksburg Pediatrics, Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Blacksburg Pediatrics, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D1106205) is associated with this NPI, valid through September 14, 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 Blacksburg Pediatrics, Plc was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.