SENTARA PEDIATRIC PHYSICIANS
NPI 1720106149
Pediatrics in Williamsburg, VA

Active since March 26, 2007CLIA 49D0226558 · Waiver
4374 NEW TOWN AVE, STE 202, WILLIAMSBURG, VA 23188(757) 984-6040(757) 510-9063 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sentara Pediatric Physicians NPPES

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

SENTARA PEDIATRIC PHYSICIANS (NPI 1720106149) is a healthcare organization registered as a pediatrics in Williamsburg, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Cindy A Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1720106149
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSENTARA MEDICAL GROUP
Location Address4374 NEW TOWN AVE, STE 202Williamsburg, VA 23188-2865
Mailing Address4374 New Town Ave, Ste 202Williamsburg, VA 23188-2865 · (757) 984-6040 · Fax (757) 510-9063
Fax(757) 510-9063
Organization SubpartNo
Authorized OfficialCindy A TaylorManager · (757) 252-2765
Enumeration DateMarch 26, 2007
Last NPPES UpdateFebruary 14, 2017
NPI 1720106149 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.

4374 NEW TOWN AVE, Williamsburg, VA 23188

Other Names 1

Doing Business AsSentara Pediatric Physicians

Other Identifiers 1

Medicare NSC0597050029VA

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 49D0226558

Sentara Pediatric Physicians - Wpasm New Town · Williamsburg, VA
Active · expires Aug 23, 2027
CLIA Number49D0226558
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorDan Via
Laboratory Phone(757) 984-6040
Laboratory LocationSentara Pediatric Physicians - Wpasm New Town4374 New Town Avenue - Sutie 202, Williamsburg, VA 23188
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 20

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

Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Emergency Medicine
4374 NEW TOWN AVE, STE 100
WILLIAMSBURG, VA 23188
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Emergency Medicine
4374 NEW TOWN AVE, SUITE 100
WILLIAMSBURG, VA 23188
Physician Assistant
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 100
WILLIAMSBURG, VA 23188

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 Sentara Medical Group's NPI number?

The NPI number for Sentara Medical Group is 1720106149. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Sentara Pediatric Physicians.

Where is Sentara Medical Group located?

Sentara Medical Group is located at 4374 New Town Ave Ste 202, Williamsburg, VA 23188. The listed phone number is (757) 984-6040.

What is Sentara Medical Group's specialty?

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

Does Sentara Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0226558) is associated with this NPI, valid through August 23, 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 Sentara Medical Group was last updated on February 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.