1. Home
  2. Directory
  3. Tennessee
  4. Athens
  5. Pediatrics
  6. NPI Profile

ATHENS PEDIATRICS P.C.
NPI 1265605190
Pediatrics in Athens, TN

Active since April 11, 2008
111 EPPERSON ST, ATHENS, TN 37303(423) 745-5955(423) 745-6423 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Athens Pediatrics P.c. NPPES

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

ATHENS PEDIATRICS P.C. (NPI 1265605190) is a healthcare organization registered as a pediatrics in Athens, Tennessee and active in the NPI registry since April 2008. The organization lists Iris Grace Ackaouy, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1265605190
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameATHENS PEDIATRICS P.C.
Location Address111 EPPERSON STAthens, TN 37303-3478
Mailing Address111 Epperson StAthens, TN 37303-3478 · (423) 745-5955 · Fax (423) 745-6423
Phone(423) 745-5955
Fax(423) 745-6423
Organization SubpartNo
Authorized OfficialIris Grace AckaouyMd/owner · (423) 745-5955
Enumeration DateApril 11, 2008
✔ NPI 1265605190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD32738
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.
111 EPPERSON ST, Athens, TN 37303
Open in Google Maps ↗

Other Identifiers 1

Medicaid3171521TN

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

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 44D0309257

Athens Pediatrics, PLLC · Athens, TN
Expired · Jul 10, 2026
CLIA Number44D0309257
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2024
Certificate Expiration DateJuly 10, 2026
Laboratory DirectorDr. Rachel Worley
Laboratory Phone(423) 745-5955
Laboratory LocationAthens Pediatrics, PLLC111 Epperson St, Athens, TN 37303
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 6

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

MS. MIA BETTINA FELICIANO MATIAS M.D.
Pediatrics
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955
ATHENS PEDIATRICS PLLC
Pediatrics
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955
PATRICIA SHEPPARD ASBURY FNP
Nurse Practitioner
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955
MELANIE LONG FNP,CS
Nurse Practitioner (Family)
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955
ATHENS PEDIATRICS PLLC
Nurse Practitioner (Family)
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955
JENNIFER H LIGHT P.A.
Physician Assistant (Medical)
111 EPPERSON ST
ATHENS, TN 37303
McMinn County (423) 745-5955

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 Athens Pediatrics P.C.'s NPI number?

The NPI number for Athens Pediatrics P.C. is 1265605190. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Athens Pediatrics P.C. located?

Athens Pediatrics P.C. is located at 111 Epperson St, Athens, TN 37303. The listed phone number is (423) 745-5955.

What is Athens Pediatrics P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Athens Pediatrics P.C. was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.