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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: August 09, 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
Phone(865) 458-5666
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
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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 NPPES 3

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

DR. JAMES PERRY GUIDER M.D.
Pediatrics
616 WARD AVE
LOUDON, TN 37774
Loudon County (865) 458-5666
DR. CALVIN ROBERT SCHAERER JR. M.D.
Pediatrics
616 WARD AVE
LOUDON, TN 37774
Loudon County (865) 458-5666
DR. MARC VINCENT COURTS M.D.
Pediatrics
616 WARD AVE
LOUDON, TN 37774
Loudon County (865) 458-5666

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 Loudon Pediatric Clinic PC's NPI number?

The NPI number for Loudon Pediatric Clinic PC is 1356508188. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Loudon Pediatric Clinic PC located?

Loudon Pediatric Clinic PC is located at 616 Ward Ave, Loudon, TN 37774. The listed phone number is (865) 458-5666.

What is Loudon Pediatric Clinic PC's specialty?

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

Does Loudon Pediatric Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0311542) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudon Pediatric Clinic PC was last updated on March 7, 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.