ELITE PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1134435647
Pediatrics in Somerville, TN

Q: What is Elite Pediatric And Adolescent Medicine's specialty?

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

Active since August 20, 2010CLIA 44D2011677 · Certificate of Compliance

214 LAKEVIEW RD, SUITE 2, SOMERVILLE, TN 38068(901) 516-4082(901) 516-4092 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elite Pediatric And Adolescent Medicine NPPES

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

ELITE PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1134435647) is a healthcare organization registered as a pediatrics in Somerville, Tennessee and active in the NPI registry since August 2010. The organization holds a CLIA Certificate of Compliance certificate valid through June 23, 2027 and lists Derrick Rush Hamilton, Owner, as its authorized official.

NPPES Registry Identity

NPI1134435647

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameELITE PEDIATRIC AND ADOLESCENT MEDICINE

Location Address214 LAKEVIEW RD, SUITE 2Somerville, TN 38068-9737

Mailing AddressPo Box 538Somerville, TN 38068-0538 · (901) 813-8861 · Fax (901) 813-8862

Phone(901) 516-4082

Fax(901) 516-4092

Organization SubpartNo

Authorized OfficialDerrick Rush HamiltonOwner · (901) 813-8861

Enumeration DateAugust 20, 2010

Last NPPES UpdateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1134435647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 38455

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.

214 LAKEVIEW RD, Somerville, TN 38068

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2011677

Elite Pediatric And Adolescent Medicine, LLC · Somerville, TN

Active · expires Jun 23, 2027

CLIA Number44D2011677

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2025

Certificate Expiration DateJune 23, 2027

Laboratory DirectorDr. Derrick R. Hamilton

Laboratory Phone(901) 813-8861

Laboratory LocationElite Pediatric And Adolescent Medicine, LLC201 Lakeview Rd Ste A, Somerville, TN 38068

CLIA data matches this NPI record on: 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 8

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

EXCELSIOR PODIATRY CLINIC PLLC

Podiatrist (Foot & Ankle Surgery)