EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
NPI 1548466220
Pediatrics in Knoxville, TN

Active since June 21, 2007CLIA 44D0892125 · Waiver
1400 DUTCH VALLEY DR, KNOXVILLE, TN 37918(865) 689-1122(866) 340-3781 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Jun 8, 2023, Apr 7, 2022 and 5 more (8 updates tracked since 2019).

About East Tennessee Children's Hospital Primary Care Center, Inc. NPPES

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI 1548466220), doing business as Boys & Girls Pediatrics, is a healthcare organization registered as a pediatrics in Knoxville, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 27, 2028 and lists Andrew Rosendahl, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1548466220
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Location Address1400 DUTCH VALLEY DRKnoxville, TN 37918-1424
Mailing AddressPo Box 15004Knoxville, TN 37901-5004 · (865) 541-8895 · Fax (865) 633-4808
Fax(866) 340-3781
Organization SubpartYesParent: East Tennessee Children's Hospital Primary Care Center Inc.
Authorized OfficialAndrew RosendahlChief Financial Officer · (865) 541-8154
Enumeration DateJune 21, 2007
Last NPPES UpdateJanuary 14, 20268 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1548466220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1400 DUTCH VALLEY DR, Knoxville, TN 37918

Other Names 1

Doing Business AsBoys & Girls Pediatrics

Other Identifiers 1

MedicaidQ002932TN

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 44D0892125

East Tennessee Children's Hospital Dba Parton Children's Hosp/Boys & Girls Pediatrics · Knoxville, TN
Active · expires Feb 27, 2028
CLIA Number44D0892125
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 27, 2028
Laboratory DirectorDr. Karie Mclevain-Wells
Laboratory Phone(865) 689-1122
Laboratory LocationEast Tennessee Children's Hospital Dba Parton Children's Hosp/Boys & Girls Pediatrics1400 Dutch Valley Drive, Knoxville, TN 37918
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 12

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

Pediatrics
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Social Worker (Clinical)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Nurse Practitioner (Pediatrics)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Nurse Practitioner (Family)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Social Worker (Clinical)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Nurse Practitioner (Pediatrics)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Nurse Practitioner (Family)
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918
Pediatrics
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918

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 East Tennessee Children's Hospital Primary Care Center, Inc.'s NPI number?

The NPI number for East Tennessee Children's Hospital Primary Care Center, Inc. is 1548466220. It was assigned to this organization in the NPPES registry on June 21, 2007. The provider is doing business as Boys & Girls Pediatrics.

Where is East Tennessee Children's Hospital Primary Care Center, Inc. located?

East Tennessee Children's Hospital Primary Care Center, Inc. is located at 1400 Dutch Valley Dr, Knoxville, TN 37918. The listed phone number is (865) 689-1122.

What is East Tennessee Children's Hospital Primary Care Center, Inc.'s specialty?

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

Does East Tennessee Children's Hospital Primary Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0892125) is associated with this NPI, valid through February 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Tennessee Children's Hospital Primary Care Center, Inc. was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.