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TERRACE PEDIATRIC GROUP LLC NPI 1942252648


NPI Information

NPI: 1942252648
Provider Name: TERRACE PEDIATRIC GROUP LLC

Former Legal Business Name: TERRACE PEDIATRIC GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 44D0678391

Address:
342 21ST AVE N
NASHVILLE, TN
ZIP 37203
Phone: (615) 327-9371
Get Directions

TERRACE PEDIATRIC GROUP LLC is a pediatrics in Nashville, 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. TERRACE PEDIATRIC GROUP LLC NPI is 1942252648. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Terrace Pediatric Group.

The provider's business location address is:

342 21ST AVE N
NASHVILLE, TN
ZIP 37203-848
Phone: (615) 327-9371
Fax: (615) 329-6652

The provider's authorized official is James S Price .
The authorized official title is Partner and has the following contact phone number (615) 327-9371.

The CLIA number assigned to this NPI record is 44D0678391 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/13/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics6169TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1678067OTHERTENNESSEEAETNA
23706486MEDICAIDTENNESSEE

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: 4/28/2024

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