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PEDIATRIC SPECIALISTS OF VIRGINIA, LLC
NPI 1699119818
Pediatrics in Fairfax, VA

Active since April 18, 2013CLIA Certified · 2 labs
3023 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031(703) 848-6627 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Nov 2, 2022 (2 updates tracked since 2022).

About Pediatric Specialists Of Virginia, Llc NPPES

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

PEDIATRIC SPECIALISTS OF VIRGINIA, LLC (NPI 1699119818) is a healthcare organization registered as a pediatrics in Fairfax, Virginia and active in the NPI registry since April 2013. The organization holds 2 active CLIA laboratory certificates and lists Margaret C Harris, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699119818
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC SPECIALISTS OF VIRGINIA, LLC
Location Address3023 HAMAKER CT, SUITE 200Fairfax, VA 22031-2207
Mailing Address3023 Hamaker Ct, Suite 200Fairfax, VA 22031-2207 · (703) 848-6627
Phone(703) 848-6627
Organization SubpartNo
Authorized OfficialMargaret C HarrisChief Financial Officer · (703) 848-6630
Enumeration DateApril 18, 2013
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1699119818 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.
3023 HAMAKER CT, Fairfax, VA 22031
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1073416

Pediatric Specialists Of Virginia, LLC · Fairfax, VA
Active · expires Dec 2, 2027
CLIA Number49D1073416
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorPeter Lee
Laboratory Phone(703) 876-2788
Laboratory LocationPediatric Specialists Of Virginia, LLC3023 Hamaker Court, Suite 600 Attn Clinic Manager, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 49D2080118

Pediatrics Specialists Of Virginia-Asc · Fairfax, VA
Active · expires May 17, 2028
CLIA Number49D2080118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorRonak Patel
Laboratory Phone(571) 766-3041
Laboratory LocationPediatrics Specialists Of Virginia-Asc3023 Hamaker Court - Suite 400, Fairfax, VA 22031
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. LINDSEY WALDMAN
Pediatrics (Pediatric Endocrinology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 839-8797
DR. JONATHAN EE YAGER MD
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Fairfax County (703) 641-9161
TATIANA MCGEE CPNP-AC
Nurse Practitioner (Pediatrics)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
DR. KENNETH M BROOKS MD
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Fairfax County (703) 641-9161
3D BODY IMAGING LLC
Clinic/Center (Radiology)
3023 HAMAKER CT, LL50
FAIRFAX, VA 22031
Fairfax County (703) 849-8808
KALPANA THAMMINENI MD
Pediatrics (Pediatric Cardiology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (571) 647-3777
MRS. HALEY MARIE GILMORE SMITH
Registered Nurse
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
MRS. ROBYN MICHELLE MORRISSETTE PA-C, ATC-R
Physician Assistant (Surgical)
3023 HAMAKER CT, SUITE 300
FAIRFAX, VA 22031
Fairfax County (571) 405-5715

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 Pediatric Specialists Of Virginia, LLC's NPI number?

The NPI number for Pediatric Specialists Of Virginia, LLC is 1699119818. It was assigned to this organization in the NPPES registry on April 18, 2013.

Where is Pediatric Specialists Of Virginia, LLC located?

Pediatric Specialists Of Virginia, LLC is located at 3023 Hamaker Ct Suite 200, Fairfax, VA 22031. The listed phone number is (703) 848-6627.

What is Pediatric Specialists Of Virginia, LLC's specialty?

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

Does Pediatric Specialists Of Virginia, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Specialists Of Virginia, LLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.