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NEWPORT PEDIATRICS, P.C.
NPI 1467678706
Pediatrics in Newport, TN

Active since April 17, 2007CLIA Certified · 2 labs
1829 CROWE LN, NEWPORT, TN 37821(423) 623-0653(423) 625-8264 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2025, Feb 20, 2025 (2 updates tracked since 2025).

About Newport Pediatrics, P.c. NPPES

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

NEWPORT PEDIATRICS, P.C. (NPI 1467678706) is a healthcare organization registered as a pediatrics in Newport, Tennessee and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Newport, and lists Samuel Mack Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1467678706
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNEWPORT PEDIATRICS, P.C.
Location Address1829 CROWE LNNewport, TN 37821-7264
Mailing Address1829 Crowe LnNewport, TN 37821-7264 · (423) 623-0653 · Fax (423) 625-8264
Phone(423) 623-0653
Fax(423) 625-8264
Organization SubpartNo
Authorized OfficialSamuel Mack PuckettPresident · (423) 623-0653
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 1, 20252 updates tracked since enumeration
NPPES CertifiedMarch 1, 2025
✔ NPI 1467678706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1829 CROWE LN, Newport, TN 37821
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Secondary Practice Location 1

Location 1301 College StNewport, TN 37821-3619 · Phone (423) 623-0653 · Fax (423) 625-8264

Other Identifiers 1

Medicaid3710281TN

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)

Newport Pediatrics, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Newport Pediatrics, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jennifer Sauceman, M.D.
Pediatric Medicine
NPI 1992930846
1829 CROWE LN
Newport, TN 37821
(423) 623-0653
✔ PECOSSame address
Courtney Burgin, FNP-BC
Nurse Practitioner
NPI 1912568494
1829 CROWE LN
Newport, TN 37821
(423) 623-0653
✔ PECOSSame address
Darla Morgan, APN
Nurse Practitioner
NPI 1902050164
5000 MONARCH PT
Greeneville, TN 37745
(423) 798-6630
✔ PECOS29 mi
Bettina Shelton, FNP-BC
Nurse Practitioner
NPI 1073175386
3 PROFESSIONAL PARK DR STE 31
Johnson City, TN 37604
(423) 434-3570
✔ PECOS✔ Accepts Medicare55 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 44D0311863

Newport Pediatrics PC · Newport, TN
Active · expires Jan 26, 2027
CLIA Number44D0311863
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDr. Samuel M. Puckett
Laboratory Phone(423) 623-0653
Laboratory LocationNewport Pediatrics PC1829 Crowe Lane, Newport, TN 37821
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 44D2320806

Newport Pediatrics Grammar Clinic · Newport, TN
Active · expires Mar 24, 2027
CLIA Number44D2320806
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Samuel M. Puckett
Laboratory Phone(423) 623-0653
Laboratory LocationNewport Pediatrics Grammar Clinic301 College St, Newport, TN 37821
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Newport Pediatrics, P.C.'s NPI number?

The NPI number for Newport Pediatrics, P.C. is 1467678706. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Newport Pediatrics, P.C. located?

Newport Pediatrics, P.C. is located at 1829 Crowe Ln, Newport, TN 37821. The listed phone number is (423) 623-0653.

What is Newport Pediatrics, P.C.'s specialty?

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

Is Newport Pediatrics, P.C. enrolled in Medicare?

Yes. Newport Pediatrics, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Pediatrics, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Newport Pediatrics, P.C.. 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. The largest specialties are Nurse Practitioner (3) and Pediatric Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newport Pediatrics, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Newport Pediatrics, P.C. was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.