EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC.
NPI 1184829368
Pediatrics in Alcoa, TN
About East Tennessee Children's Primary Care Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC. (NPI 1184829368), doing business as Dolly Parton Children's Hospital Maryville Pediatrics, is a healthcare organization registered as a pediatrics in Alcoa, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 13, 2028 and lists Andrew Rosendahl, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Tennessee Children's Primary Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to East Tennessee Children's Primary Care Center, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Seymour, TN 37865
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 Compliance 44D0678339
East Tennessee Children's Hospital Primary Care Dba Maryville Pediatrics · Alcoa, TNFrequently 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 Children's Primary Care Center, Inc.'s NPI number?
The NPI number for East Tennessee Children's Primary Care Center, Inc. is 1184829368. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Dolly Parton Children's Hospital Maryville Pediatrics and Maryville Pediatrics.
Where is East Tennessee Children's Primary Care Center, Inc. located?
East Tennessee Children's Primary Care Center, Inc. is located at 352 Fountain View Cir, Alcoa, TN 37701. The listed phone number is (865) 982-0032.
What is East Tennessee Children's Primary Care Center, Inc.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is East Tennessee Children's Primary Care Center, Inc. enrolled in Medicare?
Yes. East Tennessee Children's Primary Care Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Tennessee Children's Primary Care Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to East Tennessee Children's Primary Care Center, Inc.. 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. The largest specialties are Pediatric Medicine (3) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Tennessee Children's Primary Care Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D0678339) is associated with this NPI, valid through April 13, 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 East Tennessee Children's Primary Care Center, Inc. was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# East Tennessee Children's Primary Care Center, Inc. · NPI 1184829368
Pediatrics organization in Alcoa, Tennessee. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1184829368 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Also known as:** Dolly Parton Children's Hospital Maryville Pediatrics (Doing Business As); Maryville Pediatrics (Doing Business As)
- **Organization subpart:** Yes (part of East Tennessee Children's Primary Care Center, Inc.)
- **Authorized official:** Andrew Rosendahl, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 352 FOUNTAIN VIEW CIR, Alcoa, TN 37701-1945
- **Phone:** (865) 982-0032 · **Fax:** (866) 307-8963
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Nurse Practitioner (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2026
- **Other identifiers:** Medicaid 5441765 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184829368) · Data from the CMS NPPES public registry.