SHULTS PEDIATRICS
NPI 1255748059
Pediatrics in Knoxville, TN

NPI Status: Active since July 14, 2014

Contact Information

9142 S NORTHSHORE DR
KNOXVILLE, TN
ZIP 37922
Phone: (865) 670-1560
Fax: (865) 670-1560

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
CLIA Number: 44D2285642
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 07-16-2025

About SHULTS PEDIATRICS

This page provides the complete NPI Profile along with additional information for Shults Pediatrics, a pediatrician established in Knoxville, Tennessee operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1255748059 assigned on July 2014. The practitioner's primary taxonomy code is 208000000X with license number MD0000024906 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Shults Pediatrics. The authorized official of this NPI record is Randall Shults (Administrator)

NPI: 1255748059
Provider Legal Name: SHULTS PEDIATRICS, P. C.
Other Organization Name: SHULTS PEDIATRICS
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 9142 S NORTHSHORE DR KNOXVILLE, TN 37922
Location Phone: (865) 670-1560
Location Fax: (865) 670-1560
Mailing Address: 9142 S NORTHSHORE DR KNOXVILLE, TN 37922
Mailing Phone: (865) 670-1560
Mailing Fax: (865) 670-1560
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-14-2014
Last Update Date: 07-14-2014
Code Navigator

A pediatrician like Shults Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: MD0000024906
License State: TN
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: RANDALL SHULTS
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (865) 670-1560

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 44D2285642
Facility Type: Physician Office
Certificate Effective Date: July 17, 2023
Certificate Expiration Date: July 16, 2025
Laboratory Director: STEPHANIE S. SHULTS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Shults Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	7	4	8	0	5	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	14	4	16	0	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 4 + 1 + 6 + 0 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1255748059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.