EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
NPI 1184829368
Pediatrics in Alcoa, TN

Active since June 18, 2007CLIA 44D0678339 · Certificate of Compliance
352 FOUNTAIN VIEW CIRCLE, ALCOA, TN 37701(865) 982-0032(866) 307-8963 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2026, Apr 9, 2025, May 16, 2024 and 6 more (9 updates tracked since 2019).

About East Tennessee Children's Hospital Primary Care Center, Inc. NPPES

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI 1184829368), doing business as 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

NPI1184829368
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Location Address352 FOUNTAIN VIEW CIRCLEAlcoa, TN 37701-1945
Mailing AddressPo Box 15004Knoxville, TN 37901-5004 · (865) 541-8895 · Fax (865) 633-4808
Fax(866) 307-8963
Organization SubpartYesParent: East Tennessee Children's Hospital Primary Care Center Inc.
Authorized OfficialAndrew RosendahlChief Financial Officer · (865) 541-8154
Enumeration DateJune 18, 2007
Last NPPES UpdateJanuary 14, 20269 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1184829368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
352 FOUNTAIN VIEW CIRCLE, Alcoa, TN 37701

Other Names 1

Doing Business AsMaryville Pediatrics

Other Identifiers 1

Medicaid5441765TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, TN
Active · expires Apr 13, 2028
CLIA Number44D0678339
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorDr. Cindy E. Hoover
Laboratory Phone(865) 982-0032
Laboratory LocationEast Tennessee Children's Hospital Primary Care Dba Maryville Pediatrics352 Fountain View Circle, Alcoa, TN 37701
CLIA data matches this NPI record on: Address 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 7

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

Nurse Practitioner (Family)
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Pediatrics
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Pediatrics
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Pediatrics
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Pediatrics
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Pediatrics
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701
Nurse Practitioner (Pediatrics)
352 FOUNTAIN VIEW CIRCLE
ALCOA, TN 37701

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 East Tennessee Children's Hospital Primary Care Center, Inc.'s NPI number?

The NPI number for East Tennessee Children's Hospital 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 Maryville Pediatrics.

Where is East Tennessee Children's Hospital Primary Care Center, Inc. located?

East Tennessee Children's Hospital Primary Care Center, Inc. is located at 352 Fountain View Circle, Alcoa, TN 37701. The listed phone number is (865) 982-0032.

What is East Tennessee Children's Hospital Primary Care Center, Inc.'s specialty?

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

Does East Tennessee Children's Hospital 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 Hospital Primary Care Center, Inc. was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.