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SHARP PEDIATRICS LLC
NPI 1396509758
Clinic/Center - Rural Health in Dickson, TN

Active since February 07, 2024CLIA 44D2283451 · Waiver
207 E RICKERT AVE, DICKSON, TN 37055(629) 932-5437(629) 932-4549 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Dec 3, 2024, Feb 7, 2024 (3 updates tracked since 2024).

About Sharp Pediatrics Llc NPPES

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

SHARP PEDIATRICS LLC (NPI 1396509758) is a healthcare organization registered as a rural health in Dickson, Tennessee and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Kelley J Sharp, Nurse Practitioner Pediatrics, as its authorized official.

NPPES Registry Identity

NPI1396509758
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHARP PEDIATRICS LLC
Location Address207 E RICKERT AVEDickson, TN 37055-1333
Mailing Address207 E Rickert AveDickson, TN 37055-1333 · (615) 260-5589 · Fax (629) 932-4549
Phone(629) 932-5437
Fax(629) 932-4549
Organization SubpartNo
Authorized OfficialKelley J SharpNurse Practitioner Pediatrics · (615) 260-5589
Enumeration DateFebruary 7, 2024
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1396509758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
207 E RICKERT AVE, Dickson, TN 37055
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Other Names 1

Former Legal Business NameSharp Pediatrics Llc

Other Identifiers 1

MedicaidQ081360TN

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 44D2283451

Sharp Pediatrics, LLC · Dickson, TN
Active · expires Jun 7, 2027
CLIA Number44D2283451
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorKelley J. Sharp
Laboratory Phone(615) 533-9389
Laboratory LocationSharp Pediatrics, LLC207 East Rickert Ave, Dickson, TN 37055
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KELLEY J SHARP NP
Nurse Practitioner (Pediatrics)
207 E RICKERT AVE
DICKSON, TN 37055
Dickson County (615) 260-5589

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 Sharp Pediatrics LLC's NPI number?

The NPI number for Sharp Pediatrics LLC is 1396509758. It was assigned to this organization in the NPPES registry on February 7, 2024.

Where is Sharp Pediatrics LLC located?

Sharp Pediatrics LLC is located at 207 E Rickert Ave, Dickson, TN 37055. The listed phone number is (629) 932-5437.

What is Sharp Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sharp Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2283451) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sharp Pediatrics LLC was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.