COLLIERVILLE PEDIATRICS, LLC
NPI 1326229345
Pediatrics in Collierville, TN

Q: What is Collierville Pediatrics, LLC's NPI number?

The NPI number for Collierville Pediatrics, LLC is 1326229345. It was assigned to this organization in the NPPES registry on November 19, 2007.

Q: What is Collierville Pediatrics, LLC's specialty?

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

Active since November 19, 2007CLIA 44D1076668 · Waiver

2028 W POPLAR AVE, SUITE 112, COLLIERVILLE, TN 38017(901) 854-5455(901) 377-7309 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Collierville Pediatrics, Llc NPPES

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

COLLIERVILLE PEDIATRICS, LLC (NPI 1326229345) is a healthcare organization registered as a pediatrics in Collierville, Tennessee and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Jaya Venkataraman, Md/president, as its authorized official.

NPPES Registry Identity

NPI1326229345

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCOLLIERVILLE PEDIATRICS, LLC

Location Address2028 W POPLAR AVE, SUITE 112Collierville, TN 38017-0618

Mailing Address2028 W Poplar Ave, Suite 112Collierville, TN 38017-0618 · (901) 854-5455 · Fax (901) 377-7309

Phone(901) 854-5455

Fax(901) 377-7309

Organization SubpartNo

Authorized OfficialJaya VenkataramanMd/president · (901) 854-5455

Enumeration DateNovember 19, 2007

✔ NPI 1326229345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 38751

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.

2028 W POPLAR AVE, Collierville, TN 38017

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Other Identifiers 1

Medicare UPINF99456TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Waiver 44D1076668

Collierville Pediatrics LLC Dba Germantown Pediatric & Family Medicine · Germantown, TN

Active · expires Nov 18, 2027

CLIA Number44D1076668

Laboratory TypePhysician Office

Certificate Effective DateNovember 19, 2025

Certificate Expiration DateNovember 18, 2027

Laboratory DirectorDr. Jaya Venkataraman

Laboratory Phone(901) 854-5455

Laboratory LocationCollierville Pediatrics LLC Dba Germantown Pediatric & Family Medicine3180 Professional Plaza Suite 111, Germantown, TN 38138

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 12

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

YOUR ENT, PLLC

Clinic/Center (Medical Specialty)

2028 W POPLAR AVE, SUITE 112
COLLIERVILLE, TN 38017

Shelby County (901) 861-2526

DR. WILLIAM WHITTINGTON D.P.T

Physical Therapist (Orthopedic)

2028 W POPLAR AVE, SUITE 113
COLLIERVILLE, TN 38017

Shelby County (901) 850-5500

CHILDREN'S DENTAL CENTER OF WEST TENNESSEE

Dentist (Pediatric Dentistry)

2028 W POPLAR AVE, STE 110
COLLIERVILLE, TN 38017

Shelby County (901) 861-9668

AMY HYDE FNP-BC

Nurse Practitioner (Family)

2028 W POPLAR AVE
COLLIERVILLE, TN 38017

Shelby County (901) 221-8983

SARASWATHY B NAREN DO

Family Medicine

2028 W POPLAR AVE, SUITE 115
COLLIERVILLE, TN 38017

Shelby County (901) 221-8983

DR TED S COOPER OPTOMETRY LLC

Optometrist

2028 W POPLAR AVE, SUITE 102
COLLIERVILLE, TN 38017

Shelby County (901) 850-7900

APRIL STEGALL AU.D.

Audiologist-Hearing Aid Fitter

2028 W POPLAR AVE, SUITE 108
COLLIERVILLE, TN 38017

Shelby County (901) 346-5700

DR. JAMES BENTON SELECMAN DDS

Dentist (Pediatric Dentistry)

2028 W POPLAR AVE, STE 110
COLLIERVILLE, TN 38017

Shelby County (901) 861-9668

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 Collierville Pediatrics, LLC's NPI number?

The NPI number for Collierville Pediatrics, LLC is 1326229345. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Collierville Pediatrics, LLC located?

Collierville Pediatrics, LLC is located at 2028 W Poplar Ave Suite 112, Collierville, TN 38017. The listed phone number is (901) 854-5455.

What is Collierville Pediatrics, LLC's specialty?

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

Does Collierville Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1076668) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Collierville Pediatrics, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Collierville Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Collierville Pediatrics, LLC was last updated on November 19, 2007. 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.