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

NPI Status: Active since April 11, 2008

Contact Information

111 EPPERSON ST
ATHENS, TN
ZIP 37303
Phone: (423) 745-5955
Fax: (423) 745-6423

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  • Organization
  • Pediatrics
  • CLIA Number: 44D0309257
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-10-2026

About ATHENS PEDIATRICS P.C.

This page provides the complete NPI Profile along with additional information for Athens Pediatrics P.c., a pediatrician established in Athens, Tennessee operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1265605190 assigned on April 2008. The practitioner's primary taxonomy code is 208000000X with license number MD32738 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Iris Grace Ackaouy Md (Md/owner)

NPI
1265605190
Provider Name
ATHENS PEDIATRICS P.C.
Entity Type
Organization
Location Address
111 EPPERSON ST ATHENS, TN 37303
Location Phone
(423) 745-5955
Location Fax
(423) 745-6423
Mailing Address
111 EPPERSON ST ATHENS, TN 37303
Mailing Phone
(423) 745-5955
Mailing Fax
(423) 745-6423
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2008
Last Update Date
04-11-2008
Code Navigator

A pediatrician like Athens Pediatrics P.c. 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.
MD32738
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. IRIS GRACE ACKAOUY MD

Authorized Official Title
MD/OWNER
Authorized Official Phone
(423) 745-5955

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3171521MEDICAID (05)TN 

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
44D0309257
Facility Type
Physician Office
Certificate Effective Date
July 11, 2024
Certificate Expiration Date
July 10, 2026
Laboratory Director
DR. RACHEL WORLEY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Athens Pediatrics P.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265605190, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 0 + 1 + 0 + 1 + 1 + 8 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265605190.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
111 EPPERSON ST
ATHENS, TN 37303
Pediatrics
111 EPPERSON ST
ATHENS, TN 37303
Pediatrics
111 EPPERSON ST
ATHENS, TN 37303
Nurse Practitioner (Family)
111 EPPERSON ST
ATHENS, TN 37303
Nurse Practitioner
111 EPPERSON ST
ATHENS, TN 37303
Physician Assistant (Medical)
111 EPPERSON ST
ATHENS, TN 37303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265605190, enumerated as an "organization" on April 11, 2008.

The provider is located at 111 EPPERSON ST ATHENS, TN 37303 and the phone number is (423) 745-5955.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.