GI FOR KIDS PLLC NPI 1215392030

NPI Information

  • NPI: 1215392030
  • Provider Name: GI FOR KIDS, PLLC
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 44D2278188
  • Address: 1975 TOWN CENTER BLVD
    KNOXVILLE, TN
    ZIP 37922
  • Phone: (865) 546-3998

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NPI Details

GI FOR KIDS, PLLC is a pediatric gastroenterology pediatrics in Knoxville, TN. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. GI FOR KIDS, PLLC NPI is 1215392030. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1975 TOWN CENTER BLVD
KNOXVILLE, TN
ZIP 37922-638
Phone: (865) 546-3998
Fax: (865) 546-1123

The provider's authorized official is Youhanna S. Al-tawil .
The authorized official title is Owner and has the following contact phone number (865) 546-3998.

The CLIA number assigned to this NPI record is 44D2278188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 10/5/2022.

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
12080P0206XPediatricsPediatric GastroenterologyTENNESSEENo
2363AM0700XPhysician AssistantMedicalNo
3363AS0400XPhysician AssistantSurgicalNo
4363LP0200XNurse PractitionerPediatricsNo
52080P0206XPediatricsPediatric GastroenterologyYes

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
1Q018806MEDICAIDTENNESSEE

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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