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EAST TENNESSEE PEDIATRICS
NPI 1023542784
Clinic/Center - Rural Health in Madisonville, TN

Active since April 19, 2017
3959 HIGHWAY 411, MADISONVILLE, TN 37354(423) 442-2121 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 9, 2017, Apr 19, 2017 (2 updates tracked since 2017).

About East Tennessee Pediatrics NPPES

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

EAST TENNESSEE PEDIATRICS (NPI 1023542784) is a healthcare organization registered as a rural health in Madisonville, Tennessee and active in the NPI registry since April 2017. The organization lists Gregory B Cain, President, as its authorized official.

NPPES Registry Identity

NPI1023542784
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TENNESSEE PEDIATRICS
Location Address3959 HIGHWAY 411Madisonville, TN 37354-4417
Mailing Address3959 Highway 411Madisonville, TN 37354-4417
Phone(423) 442-2121
Organization SubpartNo
Authorized OfficialGregory B CainPresident · (423) 442-2121
Enumeration DateApril 19, 2017
Last NPPES UpdateJune 9, 20172 updates tracked since enumeration
✔ NPI 1023542784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
3959 HIGHWAY 411, Madisonville, TN 37354
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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

Other Providers at the Same Location NPPES 9

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

JOSHUA OWEN JONES FNP
Nurse Practitioner (Family)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
ERIN HIMES PA-C
Physician Assistant (Medical)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
CANA WILLIAMS
Physician Assistant
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
MR. GREGORY BRIAN CAIN PA-C
Physician Assistant (Medical)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
BRAD ALLEN WATSON NP
Nurse Practitioner (Family)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
TYLER BRANSCUM PA-C
Physician Assistant (Medical)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
OCCUPATIONAL HEALTH PARTNERS
Physician Assistant (Medical)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121
DELETRA MICHELLE WILKE PA-C
Physician Assistant (Medical)
3959 HIGHWAY 411
MADISONVILLE, TN 37354
Monroe County (423) 442-2121

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 East Tennessee Pediatrics's NPI number?

The NPI number for East Tennessee Pediatrics is 1023542784. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is East Tennessee Pediatrics located?

East Tennessee Pediatrics is located at 3959 Highway 411, Madisonville, TN 37354. The listed phone number is (423) 442-2121.

What is East Tennessee Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for East Tennessee Pediatrics was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.