1. Home
  2. Directory
  3. Kentucky
  4. Pikeville
  5. Pediatrics
  6. NPI Profile

CRIDER JOHNSON PEDIATRICS PSC
NPI 1114029212
Pediatrics in Pikeville, KY

Active since September 01, 2006
387 TOWN MOUNTAIN RD, SUITE 202, PIKEVILLE, KY 41501(606) 437-1056(606) 437-5040 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crider Johnson Pediatrics Psc NPPES

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

CRIDER JOHNSON PEDIATRICS PSC (NPI 1114029212), doing business as Jyothi Mettu Md Psc, is a healthcare organization registered as a pediatrics in Pikeville, Kentucky and active in the NPI registry since September 2006. The organization lists Judy Robinson, Manager, as its authorized official.

NPPES Registry Identity

NPI1114029212
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCRIDER JOHNSON PEDIATRICS PSC
Location Address387 TOWN MOUNTAIN RD, SUITE 202Pikeville, KY 41501-1640
Mailing Address387 Town Mountain Rd, Suite 202Pikeville, KY 41501-1640 · (606) 437-1056 · Fax (606) 437-5040
Phone(606) 437-1056
Fax(606) 437-5040
Organization SubpartNo
Authorized OfficialJudy RobinsonManager · (606) 437-1008
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1114029212 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.
387 TOWN MOUNTAIN RD, Pikeville, KY 41501
Open in Google Maps ↗

Other Names 1

Former Legal Business NameJyothi Mettu Md Psc

Other Identifiers 1

Medicaid7100207560KY

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 11

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

PIKEVILLE RADIOLOGY
Radiology (Diagnostic Radiology)
387 TOWN MOUNTAIN RD, SUITE 106
PIKEVILLE, KY 41501
Pike County (606) 432-9094
CLINE MEDICAL GROUP LLC
Family Medicine
387 TOWN MOUNTAIN RD, SUITE #100
PIKEVILLE, KY 41501
Pike County (606) 637-2334
JYOTHI METTU M.D.
Pediatrics (Sleep Medicine)
387 TOWN MOUNTAIN RD, STE 108
PIKEVILLE, KY 41501
Pike County (606) 437-4925
R.V. METTU,M.D PSC
Internal Medicine (Sleep Medicine)
387 TOWN MOUNTAIN RD, STE 108
PIKEVILLE, KY 41501
Pike County (606) 437-4925
JACK BYRON CRIDER M.D.
Pediatrics
387 TOWN MOUNTAIN RD, STE 202
PIKEVILLE, KY 41501
Pike County (606) 437-1008
OSCAR W THOMPSON III MD
Specialist
387 TOWN MOUNTAIN RD, SUITE 201
PIKEVILLE, KY 41501
Pike County (606) 432-0079
WILSON & WHEELER PSC
Clinic/Center (Ophthalmologic Surgery)
387 TOWN MOUNTAIN RD, SUITE 107
PIKEVILLE, KY 41501
Pike County (606) 437-7355
PIKEVILLE MEDICAL BUILDING LAB., INC.
Clinical Medical Laboratory
387 TOWN MOUNTAIN RD, SUITE 203
PIKEVILLE, KY 41501
Pike County (606) 432-1266

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 Crider Johnson Pediatrics Psc's NPI number?

The NPI number for Crider Johnson Pediatrics Psc is 1114029212. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider was formerly known as Jyothi Mettu MD Psc.

Where is Crider Johnson Pediatrics Psc located?

Crider Johnson Pediatrics Psc is located at 387 Town Mountain Rd Suite 202, Pikeville, KY 41501. The listed phone number is (606) 437-1056.

What is Crider Johnson Pediatrics Psc's specialty?

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

When was this NPI record last updated?

The NPPES record for Crider Johnson Pediatrics Psc was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.