Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Grove Pediatrics, PC

Organization Pediatrics Physician · NPI 1285064758

Shady Grove Pediatrics, PC is a Pediatrics Physician in King George, Virginia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11127 Journal Pkwy
King George, VA 22485-3468
Phone: (540) 775-6891
Fax: (540) 775-6894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1285064758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Zavelsky — Physician/Owner · (540) 775-6891
Other names King George Pediatrics
NPI enumeratedNovember 20, 2013
Last updated in NPPESNovember 20, 2013
Mailing address11127 Journal Pkwy, King George, VA 22485-3468

Other providers in King George