KIDZCARE PEDIATRICS PLLC NPI 1215471198

NPI Information

  • NPI: 1215471198
  • Provider Name: KIDZCARE PEDIATRICS, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: KIDZCARE PEDIATRICS MADISONVILLE
  • CLIA Number: 44D2122410
  • Address: 4233 HIGHWAY 411
    SUITE B
    MADISONVILLE, TN
    ZIP 37354
  • Phone: (423) 745-7500

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NPI Details

KIDZCARE PEDIATRICS, PLLC is a rural health clinic center in Madisonville, TN. KIDZCARE PEDIATRICS, PLLC NPI is 1215471198. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidzcare Pediatrics Madisonville.

The provider's business location address is:

4233 HIGHWAY 411
SUITE B
MADISONVILLE, TN
ZIP 37354-571
Phone: (423) 745-7500
Fax: (423) 745-7501

The provider's authorized official is Saji Kottappura Gopinathan .
The authorized official title is President and has the following contact phone number (423) 745-7500.

The CLIA number assigned to this NPI record is 44D2122410 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.

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
1261QR1300XClinic/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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