Healthcare Provider Details

I. General information

NPI: 1043147788
Provider Name (Legal Business Name): CHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PENNSYLVANIA AVE SE STE 500
WASHINGTON DC
20003-4351
US

IV. Provider business mailing address

PO BOX 744787
ATLANTA GA
30374-4787
US

V. Phone/Fax

Practice location:
  • Phone: 202-420-7400
  • Fax:
Mailing address:
  • Phone: 301-754-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT JAMES GRADY SR.
Title or Position: DIR OF PFS
Credential:
Phone: 301-572-6284