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THE PEDIATRIC GROUP, PC
NPI 1922162205
Pediatrics - Adolescent Medicine in Alexandria, VA

Active since December 20, 2006
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310(703) 971-6900(703) 971-9184 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Pediatric Group, Pc NPPES

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

THE PEDIATRIC GROUP, PC (NPI 1922162205) is a healthcare organization registered as an adolescent medicine in Alexandria, Virginia and active in the NPI registry since December 2006. The organization lists Jan Michael Grader, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922162205
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameTHE PEDIATRIC GROUP, PC
Location Address7015C MANCHESTER BLVDAlexandria, VA 22310-3253
Mailing Address7015c Manchester BlvdAlexandria, VA 22310-3253 · (703) 971-6900 · Fax (703) 971-9184
Phone(703) 971-6900
Fax(703) 971-9184
Organization SubpartNo
Authorized OfficialJan Michael GraderAdministrator · (703) 971-6900
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922162205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
7015C MANCHESTER BLVD, Alexandria, VA 22310
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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

Other Providers at the Same Location NPPES 6

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

EUGENIA LIN M.D.
Pediatrics
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (703) 971-6900
EVIE K CAVROS M.D.
Pediatrics
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (703) 971-6900
NATIONAL VISION INC
Optometrist
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (571) 227-6840
ELISABETH B GABOR MD
Pediatrics
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (703) 971-6900
THE PEDIATRIC GROUP, PC
Pediatrics
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (703) 971-6900
TISHA LINN WALTER CPNP
Nurse Practitioner (Pediatrics)
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310
Fairfax County (703) 971-6900

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 The Pediatric Group, PC's NPI number?

The NPI number for The Pediatric Group, PC is 1922162205. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is The Pediatric Group, PC located?

The Pediatric Group, PC is located at 7015C Manchester Blvd, Alexandria, VA 22310. The listed phone number is (703) 971-6900.

What is The Pediatric Group, PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for The Pediatric Group, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.