LOUDON PEDIATRIC CLINIC PC
NPI 1356508188
Pediatrics in Loudon, TN

Active since May 20, 2008CLIA 44D0311542 · Waiver
616 WARD AVE, LOUDON, TN 37774(865) 458-5666(865) 458-9906 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Loudon Pediatric Clinic Pc NPPES

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

LOUDON PEDIATRIC CLINIC PC (NPI 1356508188) is a healthcare organization registered as a pediatrics in Loudon, Tennessee and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists James Perry Guider, President, as its authorized official.

NPPES Registry Identity

NPI1356508188
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLOUDON PEDIATRIC CLINIC PC
Location Address616 WARD AVELoudon, TN 37774-1323
Mailing Address616 Ward AveLoudon, TN 37774-1323 · (865) 458-5666 · Fax (865) 458-9906
Fax(865) 458-9906
Organization SubpartNo
Authorized OfficialJames Perry GuiderPresident · (865) 458-5666
Enumeration DateMay 20, 2008
Last NPPES UpdateMarch 7, 2014
NPI 1356508188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 12939
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.

616 WARD AVE, Loudon, TN 37774

Other Identifiers 1

Medicaid1503978TN

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 Waiver 44D0311542

Loudon Pediatric Clinic · Loudon, TN
Active · expires Feb 8, 2028
CLIA Number44D0311542
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Calvin R. Schaerer Jr
Laboratory Phone(865) 458-5666
Laboratory LocationLoudon Pediatric Clinic616 Ward Ave, Loudon, TN 37774
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
616 WARD AVE
LOUDON, TN 37774
Pediatrics
616 WARD AVE
LOUDON, TN 37774
Pediatrics
616 WARD AVE
LOUDON, TN 37774

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356508188, enumerated as an "organization" on May 20, 2008.

The provider is located at 616 WARD AVE LOUDON, TN 37774 and the phone number is (865) 458-5666.

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.