OrganizationPediatrix Medical Group PcPediatricsAllopathic & Osteopathic PhysiciansPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 391-3600PECOS EnrollmentBased on the most recent information from CMS, provider Pediatrix Medical Group Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1093602021Provider TypeOrganizationFull NamePediatrix Medical Group PcSubpartNoEnumeration Date6/23/2025Last Updated6/23/2025Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 391-3600FaxUnlisted FaxMailing LocationMailing AddressPO Box 100445, Atlanta, GA 30384-0445PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGlaser, Nicholas (Assistant Secretary)Phone(954) 384-0175Provider TaxonomiesCodeDescriptionLicenseCode2080N0001XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode231H00000XDescriptionAudiologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer