ATHENS PEDIATRICS PLLC NPI 1659740702

NPI Information

  • NPI: 1659740702
  • Provider Name: ATHENS PEDIATRICS PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 44D0309257
  • Address: 111 EPPERSON ST
    ATHENS, TN
    ZIP 37303
  • Phone: (423) 745-5955

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NPI Details

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: 11/21/2025

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