PIONEER PEDIATRICS PLLC NPI 1184816720

NPI Information

  • NPI: 1184816720
  • Provider Name: PIONEER PEDIATRICS, PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 44D1006598
  • Address: 236 E MAIN ST
    MCMINNVILLE, TN
    ZIP 37110
  • Phone: (931) 815-5437

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NPI Details

PIONEER PEDIATRICS, PLLC is a pediatrics in Mcminnville, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PIONEER PEDIATRICS, PLLC NPI is 1184816720. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

236 E MAIN ST
MCMINNVILLE, TN
ZIP 37110-508
Phone: (931) 815-5437
Fax: (931) 507-5440

The provider's authorized official is Melinda R Harper .
The authorized official title is Partner and has the following contact phone number (931) 815-5437.

The CLIA number assigned to this NPI record is 44D1006598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/25/2011.

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
1208000000XPediatrics1618TENNESSEENo
2208000000XPediatrics1768TENNESSEENo
3363LP0200XNurse PractitionerPediatricsAPN0000012370TENNESSEENo
4208000000XPediatrics36250TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15440799MEDICAIDTENNESSEE
21134121783OTHERNPI
31225166564OTHERNPI
41316949969OTHERNPI
55440223MEDICAIDTENNESSEE
61336183227OTHERNPI
75441183MEDICAIDTENNESSEE
83878545MEDICAIDTENNESSEE

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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