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THE CENTER FOR PEDIATRIC EXCELLENCE, PLLC
NPI 1386382273
Pediatrics in Smyrna, TN

Active since May 22, 2022
300 STONECREST BLVD STE 250, SMYRNA, TN 37167(629) 220-0211(629) 220-0210 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2022, Sep 28, 2022, May 22, 2022 (3 updates tracked since 2022).

About The Center For Pediatric Excellence, Pllc NPPES

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

THE CENTER FOR PEDIATRIC EXCELLENCE, PLLC (NPI 1386382273) is a healthcare organization registered as a pediatrics in Smyrna, Tennessee and active in the NPI registry since May 2022. The organization lists Derek Keith Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386382273
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE CENTER FOR PEDIATRIC EXCELLENCE, PLLC
Location Address300 STONECREST BLVD STE 250Smyrna, TN 37167-6832
Mailing Address300 Stonecrest Blvd Ste 250Smyrna, TN 37167-6832 · (629) 220-0211 · Fax (629) 220-0210
Phone(629) 220-0211
Fax(629) 220-0210
Organization SubpartNo
Authorized OfficialDerek Keith JohnsonCeo · (615) 785-9303
Enumeration DateMay 22, 2022
Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1386382273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
300 STONECREST BLVD STE 250, Smyrna, TN 37167
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Center For Pediatric Excellence, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Center For Pediatric Excellence, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Tara Fishwild, NP
Nurse Practitioner
NPI 1659093060
300 STONECREST BLVD STE 250
Smyrna, TN 37167
(615) 917-6020
✔ PECOSSame address
Derek Johnson, M.D.
Pediatric Medicine
NPI 1386603850
300 STONECREST BLVD STE 250
Smyrna, TN 37167
(629) 220-0211
✔ PECOS✔ Accepts MedicareSame address
Marquita Jones
Nurse Practitioner
NPI 1710650171
741 PRESIDENT PL STE 210
Smyrna, TN 37167
(615) 625-7780
✔ PECOS0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Center For Pediatric Excellence, PLLC's NPI number?

The NPI number for The Center For Pediatric Excellence, PLLC is 1386382273. It was assigned to this organization in the NPPES registry on May 22, 2022.

Where is The Center For Pediatric Excellence, PLLC located?

The Center For Pediatric Excellence, PLLC is located at 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167. The listed phone number is (629) 220-0211.

What is The Center For Pediatric Excellence, PLLC's specialty?

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

Is The Center For Pediatric Excellence, PLLC enrolled in Medicare?

Yes. The Center For Pediatric Excellence, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Center For Pediatric Excellence, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Center For Pediatric Excellence, PLLC, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Center For Pediatric Excellence, PLLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.