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SHULTS PEDIATRICS
NPI 1255748059
Pediatrics in Knoxville, TN

Active since July 14, 2014CLIA Certified · 2 labs
9142 S NORTHSHORE DR, KNOXVILLE, TN 37922(865) 670-1560(865) 670-1560 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shults Pediatrics NPPES

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

SHULTS PEDIATRICS (NPI 1255748059) is a healthcare organization registered as a pediatrics in Knoxville, Tennessee and active in the NPI registry since July 2014. The organization holds 2 active CLIA laboratory certificates and lists Randall Shults, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255748059
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHULTS PEDIATRICS, P. C.
Location Address9142 S NORTHSHORE DRKnoxville, TN 37922-6325
Mailing Address9142 S Northshore DrKnoxville, TN 37922-6325 · (865) 670-1560 · Fax (865) 670-1560
Phone(865) 670-1560
Fax(865) 670-1560
Organization SubpartNo
Authorized OfficialRandall ShultsAdministrator · (865) 670-1560
Enumeration DateJuly 14, 2014
✔ NPI 1255748059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD0000024906
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.
9142 S NORTHSHORE DR, Knoxville, TN 37922
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Other Names 1

Other NameShults Pediatrics

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

CLIA Laboratory Certificates CMS CLIA 2

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 44D1002113

Shults Pediatrics A Division Of Summit Med Group Dba Shults Pediatrics · Knoxville, TN
Active · expires Nov 14, 2026
CLIA Number44D1002113
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorDr. Stephanie S. Shults
Laboratory Phone(865) 670-1560
Laboratory LocationShults Pediatrics A Division Of Summit Med Group Dba Shults Pediatrics9142 S Northshore Dr, Knoxville, TN 37922
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.

Certificate of Waiver 44D2285642

Shults Pediatrics Blount County Medical Practice · Maryville, TN
Active · expires Jul 16, 2027
CLIA Number44D2285642
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorStephanie S. Shults
Laboratory Phone(865) 670-1560
Laboratory LocationShults Pediatrics Blount County Medical Practice114 Defoe Circle, Maryville, TN 37804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. STEPHANIE STAPLETON SHULTS M.D.
Pediatrics
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
CATHERINE S WINCHELL FNP
Nurse Practitioner (Family)
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
SUMMIT MEDICAL GROUP, PLLC
Pediatrics
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
SARAH ELIZABETH THOMPSON MSN, FNP-BC
Nurse Practitioner (Family)
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
TABITHA B DAMRON LCSW
Social Worker (Clinical)
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
AMANDA C WELCH RD, LDN
Dietitian, Registered
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
DR. GURPREET BULLEN M.D.
Pediatrics
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560
KARA B LARUE PNP
Nurse Practitioner (Pediatrics)
9142 S NORTHSHORE DR
KNOXVILLE, TN 37922
Knox County (865) 670-1560

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 Shults Pediatrics, P. C.'s NPI number?

The NPI number for Shults Pediatrics, P. C. is 1255748059. It was assigned to this organization in the NPPES registry on July 14, 2014. The provider is also known as Shults Pediatrics.

Where is Shults Pediatrics, P. C. located?

Shults Pediatrics, P. C. is located at 9142 S Northshore Dr, Knoxville, TN 37922. The listed phone number is (865) 670-1560.

What is Shults Pediatrics, P. C.'s specialty?

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

Does Shults Pediatrics, P. C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shults Pediatrics, P. C. was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.