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ATHENS PEDIATRICS PLLC NPI 1659740702


NPI Information

NPI: 1659740702
Provider Name: ATHENS PEDIATRICS PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D0309257

Address:
111 EPPERSON ST
ATHENS, TN
ZIP 37303
Phone: (423) 745-5955
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ATHENS PEDIATRICS PLLC is a family nurse practitioner in Athens, TN. ATHENS PEDIATRICS PLLC NPI is 1659740702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 EPPERSON ST
ATHENS, TN
ZIP 37303-478
Phone: (423) 745-5955
Fax: (423) 745-6423

The provider's authorized official is Cindy Ackaouy .
The authorized official title is Office Manager and has the following contact phone number (423) 745-5955.

The CLIA number assigned to this NPI record is 44D0309257 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/18/2015.


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
1363LF0000XNurse PractitionerFamily20337TENNESSEEYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.