THE PEDIATRIC GROUP PC NPI 1922162205

NPI Information

  • NPI: 1922162205
  • Provider Name: THE PEDIATRIC GROUP, PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 7015C MANCHESTER BLVD
    ALEXANDRIA, VA
    ZIP 22310
  • Phone: (703) 971-6900

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NPI Details

THE PEDIATRIC GROUP, PC is an adolescent medicine pediatrics in Alexandria, VA. The provider is 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. THE PEDIATRIC GROUP, PC NPI is 1922162205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7015C MANCHESTER BLVD
ALEXANDRIA, VA
ZIP 22310-253
Phone: (703) 971-6900
Fax: (703) 971-9184

The provider's authorized official is Jan Michael Grader .
The authorized official title is Administrator and has the following contact phone number (703) 971-6900.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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