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CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
NPI 1003039223
Pediatrics in Maryville, TN

Active since April 10, 2007CLIA 44D0977124 · Certificate of Compliance
616 SMITHVIEW DR, MARYVILLE, TN 37803(865) 379-2277(865) 379-1191 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Creek Pediatric & Adolescent Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC (NPI 1003039223) is a healthcare organization registered as a pediatrics in Maryville, Tennessee and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists Shannon R Linginfelter, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1003039223
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
Location Address616 SMITHVIEW DRMaryville, TN 37803-6100
Mailing Address616 Smithview DrMaryville, TN 37803-6100 · (865) 379-2277 · Fax (865) 379-1171
Phone(865) 379-2277
Fax(865) 379-1191
Organization SubpartNo
Authorized OfficialShannon R LinginfelterPractice Administrator · (865) 379-2277
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003039223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
616 SMITHVIEW DR, Maryville, TN 37803
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D0977124

Cedar Creek Pediatric & Adolescent Medicine PC · Maryville, TN
Active · expires Jan 23, 2027
CLIA Number44D0977124
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Lori A. Baxter
Laboratory Phone(865) 379-2277
Laboratory LocationCedar Creek Pediatric & Adolescent Medicine PC616 Smithview Drive, Maryville, TN 37803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN E WILSON CPNP
Nurse Practitioner (Neonatal, Critical Care)
616 SMITHVIEW DR
MARYVILLE, TN 37803
Blount County (865) 379-2277
MRS. KATHERINE J MARTIN MSN, CPNP
Nurse Practitioner (Pediatrics)
616 SMITHVIEW DR
MARYVILLE, TN 37803
Blount County (865) 379-2277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Creek Pediatric & Adolescent Medicine, PC's NPI number?

The NPI number for Cedar Creek Pediatric & Adolescent Medicine, PC is 1003039223. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Cedar Creek Pediatric & Adolescent Medicine, PC located?

Cedar Creek Pediatric & Adolescent Medicine, PC is located at 616 Smithview Dr, Maryville, TN 37803. The listed phone number is (865) 379-2277.

What is Cedar Creek Pediatric & Adolescent Medicine, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cedar Creek Pediatric & Adolescent Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0977124) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedar Creek Pediatric & Adolescent Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.