VALLEY MEDICAL CARE LLC
NPI 1417376195
Pediatrics in Jasper, TN

Active since April 10, 2014CLIA 44D0309627 · Waiver
980 HIGHWAY 28, SUITE 100, JASPER, TN 37347(423) 939-1500(423) 939-1503 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2024, Jun 30, 2021, Jul 12, 2016 (3 updates tracked since 2016).

About Valley Medical Care Llc NPPES

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

VALLEY MEDICAL CARE LLC (NPI 1417376195) is a healthcare organization registered as a pediatrics in Jasper, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 6, 2026, maintains 2 additional practice locations, and lists Arif Shafi, Owner, as its authorized official.

NPPES Registry Identity

NPI1417376195
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVALLEY MEDICAL CARE LLC
Location Address980 HIGHWAY 28, SUITE 100Jasper, TN 37347-3695
Mailing Address980 Highway 28, Suite 100Jasper, TN 37347-3695 · (423) 939-1500 · Fax (423) 939-1503
Fax(423) 939-1503
Organization SubpartNo
Authorized OfficialArif ShafiOwner · (423) 942-3756
Enumeration DateApril 10, 2014
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1417376195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 026768
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.

980 HIGHWAY 28, Jasper, TN 37347

Secondary Practice Locations 2

Location 13742 Tennessee Ave Ste 106Chattanooga, TN 37409-1222 · Phone (239) 391-5004 · Fax (239) 391-5034
Location 2409 Dodds AveChattanooga, TN 37404-3908 · Phone (423) 624-4024 · Fax (423) 624-7048

Other Identifiers 2

Medicaid161481AL
MedicaidQ012469TN

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

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 Waiver 44D0309627

Valley Medical Care LLC · Jasper, TN
Active · expires Dec 6, 2026
CLIA Number44D0309627
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorDr. Arif Shafi
Laboratory Phone(423) 939-1500
Laboratory LocationValley Medical Care LLC980 Hwy 28 Ste 100, Jasper, TN 37347
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 19

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

Orthopaedic Surgery
980 HIGHWAY 28, STE 102
JASPER, TN 37347
Internal Medicine
980 HIGHWAY 28, SUITE 101
JASPER, TN 37347
Surgery
980 HIGHWAY 28, SUITE 203
JASPER, TN 37347
Internal Medicine (Cardiovascular Disease)
980 HIGHWAY 28, SUITE 102
JASPER, TN 37347
Urology
980 HIGHWAY 28, SUITE 201
JASPER, TN 37347
General Practice
980 HIGHWAY 28, SUITE 102
JASPER, TN 37347
Surgery
980 HIGHWAY 28, SUITE 203
JASPER, TN 37347
Pediatrics
980 HIGHWAY 28, SUITE 101
JASPER, TN 37347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417376195, enumerated as an "organization" on April 10, 2014.

The provider is located at 980 HIGHWAY 28 SUITE 100 JASPER, TN 37347 and the phone number is (423) 939-1500.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.