PLATEAU PEDIATRICS, PLC
NPI 1043285729
Clinic/Center - Rural Health in Crossville, TN

Active since February 17, 2006CLIA 44D0989235 · Waiver
3234 MILLER AVE, CROSSVILLE, TN 38555(931) 707-8700(931) 456-0802 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plateau Pediatrics, Plc NPPES

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

PLATEAU PEDIATRICS, PLC (NPI 1043285729) is a healthcare organization registered as a rural health in Crossville, Tennessee and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Suzanne K Berman, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043285729
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePLATEAU PEDIATRICS, PLC
Location Address3234 MILLER AVECrossville, TN 38555-6116
Mailing Address3234 Miller AveCrossville, TN 38555-6116 · (931) 707-8700 · Fax (931) 456-0802
Fax(931) 456-0802
Organization SubpartNo
Authorized OfficialSuzanne K BermanManaging Partner · (931) 707-8700
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1043285729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in TN · 3899812
Also ListedPediatricsTaxonomy 208000000X
3234 MILLER AVE, Crossville, TN 38555

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plateau Pediatrics, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Plateau Pediatrics, Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1033183744
3234 MILLER AVENUE
Crossville, TN 38555
(931) 707-8700
✔ PECOSSame address
Pediatric Medicine
NPI 1245204940
3234 MILLER AVE
Crossville, TN 38555
(931) 707-8700
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 44D0989235

Plateau Pediatrics Drs Robert & Suzanne Berman · Crossville, TN
Active · expires Jul 19, 2027
CLIA Number44D0989235
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorRobert J. Berman Jr
Laboratory Phone(931) 707-8700
Laboratory LocationPlateau Pediatrics Drs Robert & Suzanne Berman3234 Miller Avenue, Crossville, TN 38555
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Plateau Pediatrics, Plc's NPI number?

The NPI number for Plateau Pediatrics, Plc is 1043285729. It was assigned to this organization in the NPPES registry on February 17, 2006.

Where is Plateau Pediatrics, Plc located?

Plateau Pediatrics, Plc is located at 3234 Miller Ave, Crossville, TN 38555. The listed phone number is (931) 707-8700.

What is Plateau Pediatrics, Plc's specialty?

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

Is Plateau Pediatrics, Plc enrolled in Medicare?

Yes. Plateau Pediatrics, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plateau Pediatrics, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Plateau Pediatrics, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Plateau Pediatrics, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0989235) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plateau Pediatrics, Plc accept?

Health plans from Cigna Healthcare list Plateau Pediatrics, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plateau Pediatrics, Plc was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.