DRS BLACK&BENTON PEDIATRICS
NPI 1376943878
Clinic/Center - Primary Care in Knoxville, TN

Active since September 03, 2014CLIA 44D0669755 · Certificate of Compliance
4741 N BROADWAY ST STE B, KNOXVILLE, TN 37918(865) 687-1940(865) 687-0157 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Drs Black&benton Pediatrics NPPES

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

DRS BLACK&BENTON PEDIATRICS (NPI 1376943878) is a healthcare organization registered as a primary care in Knoxville, Tennessee and active in the NPI registry since September 2014. The organization holds a CLIA Certificate of Compliance certificate valid through March 22, 2028 and lists Donna Kesterson, Insurance, as its authorized official.

NPPES Registry Identity

NPI1376943878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDRS BLACK&BENTON PEDIATRICS
Location Address4741 N BROADWAY ST STE BKnoxville, TN 37918-1793
Mailing Address4741 N Broadway St Ste BKnoxville, TN 37918-1793 · (865) 687-1940 · Fax (865) 687-0157
Fax(865) 687-0157
Organization SubpartNo
Authorized OfficialDonna KestersonInsurance · (865) 687-1940
Enumeration DateSeptember 3, 2014
NPI 1376943878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TN · MD17837
4741 N BROADWAY ST STE B, Knoxville, TN 37918

Accepted 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 Compliance 44D0669755

Drs Black & Benton, Psc Dba Drs Black & Benton Pediatrics · Knoxville, TN
Active · expires Mar 22, 2028
CLIA Number44D0669755
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorDr. David S. Teaster
Laboratory Phone(865) 687-1940
Laboratory LocationDrs Black & Benton, Psc Dba Drs Black & Benton Pediatrics4741 N Broadway, Suite B, Knoxville, TN 37918
CLIA data matches this NPI record on: 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

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

Pediatrics
4741 N BROADWAY ST STE B
KNOXVILLE, TN 37918

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 Drs Black&benton Pediatrics's NPI number?

The NPI number for Drs Black&benton Pediatrics is 1376943878. It was assigned to this organization in the NPPES registry on September 3, 2014.

Where is Drs Black&benton Pediatrics located?

Drs Black&benton Pediatrics is located at 4741 N Broadway St Ste B, Knoxville, TN 37918. The listed phone number is (865) 687-1940.

What is Drs Black&benton Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Drs Black&benton Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0669755) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Drs Black&benton Pediatrics 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 Drs Black&benton Pediatrics 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 Drs Black&benton Pediatrics was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.