LITTLE PINE PEDIATRICS, PLLC
NPI 1043761539
Clinic/Center - Primary Care in Madison, FL

Active since October 19, 2016CLIA 10D2043308 · Waiver
194 NE HANCOCK AVE, MADISON, FL 32340(850) 253-2275(850) 253-2280 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2017, Jan 6, 2017, Nov 7, 2016 and 1 more (4 updates tracked since 2016).

About Little Pine Pediatrics, Pllc NPPES

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

LITTLE PINE PEDIATRICS, PLLC (NPI 1043761539) is a healthcare organization registered as a primary care in Madison, Florida and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Ronald Emerick, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1043761539
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLITTLE PINE PEDIATRICS, PLLC
Location Address194 NE HANCOCK AVEMadison, FL 32340-2546
Mailing Address194 Ne Hancock AveMadison, FL 32340-2546 · (850) 253-2275 · Fax (850) 253-2280
Fax(850) 253-2280
Organization SubpartNo
Authorized OfficialRonald EmerickOwner/medical Director · (850) 253-2275
Enumeration DateOctober 19, 2016
Last NPPES UpdateJanuary 13, 20174 updates tracked since enumeration
NPI 1043761539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
194 NE HANCOCK AVE, Madison, FL 32340

Other Identifiers 1

Medicaid001165802FL

CLIA Laboratory Certificates CMS CLIA 2

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 10D2043308

Little Pine Pediatrics · Madison, FL
Active · expires Jun 28, 2028
CLIA Number10D2043308
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorRonald Emerick
Laboratory Phone(850) 253-2275
Laboratory LocationLittle Pine Pediatrics194 NE Hancock Ave, Madison, FL 32340
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2116518

Little Pine Pediatrics PLLC · Alachua, FL
Expired · Jul 26, 2026
CLIA Number10D2116518
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorRonald Emerick
Laboratory Phone(850) 253-2275
Laboratory LocationLittle Pine Pediatrics PLLC15551 NW Hwy 441 Suite 40, Alachua, FL 32615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
194 NE HANCOCK AVE
MADISON, FL 32340
Clinic/Center (Rural Health)
194 NE HANCOCK AVE
MADISON, FL 32340
Nurse Practitioner (Family)
194 NE HANCOCK AVE
MADISON, FL 32340
Family Medicine (Adult Medicine)
194 NE HANCOCK AVE
MADISON, FL 32340
Nurse Practitioner (Family)
194 NE HANCOCK AVE
MADISON, FL 32340
Nurse Practitioner (Family)
194 NE HANCOCK AVE
MADISON, FL 32340

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 Little Pine Pediatrics, PLLC's NPI number?

The NPI number for Little Pine Pediatrics, PLLC is 1043761539. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Little Pine Pediatrics, PLLC located?

Little Pine Pediatrics, PLLC is located at 194 NE Hancock Ave, Madison, FL 32340. The listed phone number is (850) 253-2275.

What is Little Pine Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Little Pine Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2043308) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Little Pine Pediatrics, PLLC was last updated on January 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.