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SODDY DAISY FAMILY CARE
NPI 1487995304
Pediatrics in Soddy Daisy, TN

Active since March 04, 2013
9089 DAYTON PIKE, SODDY DAISY, TN 37379(423) 451-0622(423) 451-0624 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2017, Feb 21, 2017 (2 updates tracked since 2017).

About Soddy Daisy Family Care NPPES

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

SODDY DAISY FAMILY CARE (NPI 1487995304), doing business as Soddy Daisy Pediatrics, is a healthcare organization registered as a pediatrics in Soddy Daisy, Tennessee and active in the NPI registry since March 2013. The organization lists Shahla A Kaukab, Owner, as its authorized official.

NPPES Registry Identity

NPI1487995304
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSODDY DAISY FAMILY CARE
Location Address9089 DAYTON PIKESoddy Daisy, TN 37379-4313
Mailing Address9089 Dayton PikeSoddy Daisy, TN 37379 · (423) 451-0622 · Fax (423) 451-0624
Phone(423) 451-0622
Fax(423) 451-0624
Organization SubpartNo
Authorized OfficialShahla A KaukabOwner · (423) 451-0623
Enumeration DateMarch 4, 2013
Last NPPES UpdateMay 12, 20172 updates tracked since enumeration
✔ NPI 1487995304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TN · 37633✔ Licensed in TN · 28243
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 ListedInternal MedicineTaxonomy 207R00000X · License 29446 (TN)
9089 DAYTON PIKE, Soddy Daisy, TN 37379
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Other Names 1

Former Legal Business NameSoddy Daisy Pediatrics

Other Identifiers 4

Medicaid1509389TN
Medicaid3887638TN
Medicaid1511723TN
Medicare PIN102119I153TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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 44D1029292

Soddy Daisy Family Care Dba Pediatrics · Soddy Daisy, TN
Expired · Aug 12, 2026
CLIA Number44D1029292
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorShahla A. Kaukab
Laboratory Phone(423) 451-0623
Laboratory LocationSoddy Daisy Family Care Dba Pediatrics9089 Dayton Pike, Soddy Daisy, TN 37379
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 3

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

SODDY DAISY MEDICAL CARE
Internal Medicine
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0622
DR. SHAHLA AMJAD KAUKAB M.D.
Pediatrics
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0623
MARK D HAYS MD PLLC
Pediatrics (Pediatric Cardiology)
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0622

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 Soddy Daisy Family Care's NPI number?

The NPI number for Soddy Daisy Family Care is 1487995304. It was assigned to this organization in the NPPES registry on March 4, 2013. The provider was formerly known as Soddy Daisy Pediatrics.

Where is Soddy Daisy Family Care located?

Soddy Daisy Family Care is located at 9089 Dayton Pike, Soddy Daisy, TN 37379. The listed phone number is (423) 451-0622.

What is Soddy Daisy Family Care's specialty?

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

What insurance does Soddy Daisy Family Care accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Soddy Daisy Family Care 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 Soddy Daisy Family Care was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.