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VANDERBILT INTEGRATED PEDIATRICS
NPI 1437744828
Clinic/Center - Rural Health in Tullahoma, TN

Active since March 08, 2021CLIA 44D2066180 · Waiver
1440 CEDAR LN STE 100, TULLAHOMA, TN 37388(931) 393-7060 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2024, Mar 8, 2021 (2 updates tracked since 2021).

About Vanderbilt Integrated Pediatrics NPPES

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

VANDERBILT INTEGRATED PEDIATRICS (NPI 1437744828) is a healthcare organization registered as a rural health in Tullahoma, Tennessee and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Wendy Monaci, Vice President, as its authorized official.

NPPES Registry Identity

NPI1437744828
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT INTEGRATED PROVIDERS, LLC
Location Address1440 CEDAR LN STE 100Tullahoma, TN 37388-2486
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(931) 393-7060
Organization SubpartNo
Authorized OfficialWendy MonaciVice President · (615) 936-3944
Enumeration DateMarch 8, 2021
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1437744828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1440 CEDAR LN STE 100, Tullahoma, TN 37388
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Other Names 1

Doing Business AsVanderbilt Integrated Pediatrics

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanderbilt Integrated Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20210421000511Part A · Rural Health ClinicDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 44D2066180

Vanderbilt Integrated Providers, LLC Dba Vanderbilt Intergrated Pediatrics · Tullahoma, TN
Active · expires Sep 22, 2027
CLIA Number44D2066180
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorKristina Chung
Laboratory Phone(931) 393-7060
Laboratory LocationVanderbilt Integrated Providers, LLC Dba Vanderbilt Intergrated Pediatrics1440 Cedar Lane Suite 100, Tullahoma, TN 37388
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 4

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

DR. JASMINE M TERRELL DNP, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1440 CEDAR LN STE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-7060
DR. JOHN C RICHIER MD
Urology
1440 CEDAR LN STE 100
TULLAHOMA, TN 37388
Coffee County (615) 322-5000
KRISTINA CHUNG MD
Pediatrics
1440 CEDAR LN STE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-7060
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC
Clinic/Center (Rural Health)
1440 CEDAR LN STE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-7060

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 Vanderbilt Integrated Providers, LLC's NPI number?

The NPI number for Vanderbilt Integrated Providers, LLC is 1437744828. It was assigned to this organization in the NPPES registry on March 8, 2021. The provider is doing business as Vanderbilt Integrated Pediatrics.

Where is Vanderbilt Integrated Providers, LLC located?

Vanderbilt Integrated Providers, LLC is located at 1440 Cedar Ln Ste 100, Tullahoma, TN 37388. The listed phone number is (931) 393-7060.

What is Vanderbilt Integrated Providers, LLC's specialty?

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

Is Vanderbilt Integrated Providers, LLC enrolled in Medicare?

Yes. Vanderbilt Integrated Providers, LLC is registered in the Medicare PECOS enrollment system.

When is Vanderbilt Integrated Providers, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Tennessee, Rural Health Clinic) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Vanderbilt Integrated Providers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2066180) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Integrated Providers, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vanderbilt Integrated Providers, LLC 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 Vanderbilt Integrated Providers, LLC was last updated on November 5, 2024. 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.