EAST TENNESSEE PEDIATRICS NPI 1023542784

NPI Information

  • NPI: 1023542784
  • Provider Name: EAST TENNESSEE PEDIATRICS
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 3959 HIGHWAY 411
    MADISONVILLE, TN
    ZIP 37354
  • Phone: (423) 442-2121

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NPI Details

EAST TENNESSEE PEDIATRICS is a rural health clinic center in Madisonville, TN. EAST TENNESSEE PEDIATRICS NPI is 1023542784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3959 HIGHWAY 411
MADISONVILLE, TN
ZIP 37354-417
Phone: (423) 442-2121

The provider's authorized official is Gregory B Cain .
The authorized official title is President and has the following contact phone number (423) 442-2121.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 6/9/2017.

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
1363A00000XPhysician AssistantNo
2208000000XPediatricsNo
3261QR1300XClinic/CenterRural HealthYes

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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