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KEYSVILLE PEDIATRICS,PC
NPI 1831048487
Pediatrics in Keysville, VA

Active since January 27, 2026CLIA 49D1044499 · Waiver
PO BOX 829, KEYSVILLE, VA 23947(434) 736-0544(434) 736-8364 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keysville Pediatrics,pc NPPES

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

KEYSVILLE PEDIATRICS,PC (NPI 1831048487) is a healthcare organization registered as a pediatrics in Keysville, Virginia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Noel Encarnacion, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1831048487
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKEYSVILLE PEDIATRICS,PC
Location AddressPO BOX 829Keysville, VA 23947-0829
Mailing AddressPo Box 829Keysville, VA 23947-0829 · (434) 736-0544 · Fax (434) 736-8364
Phone(434) 736-0544
Fax(434) 736-8364
Organization SubpartNo
Authorized OfficialNoel EncarnacionPractice Administrator · (434) 603-1277
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1831048487 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.
PO BOX 829, Keysville, VA 23947
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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 49D1044499

Keysville Pediatrics · Keysville, VA
Active · expires Aug 21, 2027
CLIA Number49D1044499
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorJanette Ann A Mamuric
Laboratory Phone(434) 736-0544
Laboratory LocationKeysville Pediatrics130 Street - J, Keysville, VA 23947
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Keysville Pediatrics,pc's NPI number?

The NPI number for Keysville Pediatrics,pc is 1831048487. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Keysville Pediatrics,pc located?

Keysville Pediatrics,pc is located at PO Box 829, Keysville, VA 23947. The listed phone number is (434) 736-0544.

What is Keysville Pediatrics,pc's specialty?

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

Does Keysville Pediatrics,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1044499) is associated with this NPI, valid through August 21, 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 Keysville Pediatrics,pc was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.