AVERY MAE PEDIATRICS LLC NPI 1760140917

NPI Information

  • NPI: 1760140917
  • Provider Name: AVERY MAE PEDIATRICS LLC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • CLIA Number: 44D2246439
  • Address: 2100 BRANFORD PL STE 301
    THOMPSONS STATION, TN
    ZIP 37179
  • Phone: (615) 261-1313

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NPI Details

AVERY MAE PEDIATRICS LLC is a pediatrics nurse practitioner in Thompsons Station, TN. AVERY MAE PEDIATRICS LLC NPI is 1760140917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 BRANFORD PL STE 301
THOMPSONS STATION, TN
ZIP 37179-010
Phone: (615) 261-1313

The provider's authorized official is Sarah Catherine Elliott .
The authorized official title is Owner/authorized Official and has the following contact phone number (615) 988-7810.

The CLIA number assigned to this NPI record is 44D2246439 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.

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
1363LP0200XNurse PractitionerPediatricsYes

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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