1. Home
  2. Directory
  3. Tennessee
  4. Union City
  5. Pediatrics
  6. NPI Profile

PEDIATRIC PLACE OF UNION CITY LLC
NPI 1578762647
Pediatrics in Union City, TN

Active since July 17, 2007CLIA 44D1074396 · Certificate of Compliance
1117 S MILES AVE, SUITE 3, UNION CITY, TN 38261(731) 885-4338(731) 885-4339 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Place Of Union City Llc NPPES

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

PEDIATRIC PLACE OF UNION CITY LLC (NPI 1578762647) is a healthcare organization registered as a pediatrics in Union City, Tennessee and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 8, 2028 and lists John B Bates, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1578762647
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC PLACE OF UNION CITY LLC
Location Address1117 S MILES AVE, SUITE 3Union City, TN 38261-5439
Mailing Address1613 Stonehedge BlvdUnion City, TN 38261-5976
Phone(731) 885-4338
Fax(731) 885-4339
Organization SubpartNo
Authorized OfficialJohn B BatesSole Member · (731) 885-4338
Enumeration DateJuly 17, 2007
✔ NPI 1578762647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 42330
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.
1117 S MILES AVE, Union City, TN 38261
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 Compliance 44D1074396

Pediatric Place Of Union City · Union City, TN
Active · expires Jun 8, 2028
CLIA Number44D1074396
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorDr. John B. Bates
Laboratory Phone(731) 885-4338
Laboratory LocationPediatric Place Of Union City1345 Edwards St, Union City, TN 38261
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 7

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

TRAVIS DALE SHUMATE DDS
Dentist
1117 S MILES AVE, SUITE 2
UNION CITY, TN 38261
Obion County (731) 885-4404
STEPHANIE LYNN HARDER CPNP
Nurse Practitioner (Pediatrics)
1117 S MILES AVE, SUITE 3
UNION CITY, TN 38261
Obion County (731) 885-4338
KIZER PHARMACY LLC
Pharmacist
1117 S MILES AVE, STE. 1
UNION CITY, TN 38261
Obion County (731) 885-2226
DR. JASON SMITH KIZER PHARM. D
Pharmacist
1117 S MILES AVE, STE. 1
UNION CITY, TN 38261
Obion County (731) 885-2226
DR. JOHN B BATES M.D.
Pediatrics
1117 S MILES AVE, SUITE 3
UNION CITY, TN 38261
Obion County (731) 885-4338
RCG MARTIN, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1117 S MILES AVE
UNION CITY, TN 38261
Obion County (731) 884-0914
RICHARD EARL HOLFORD II PHARM.D.
Pharmacist
1117 S MILES AVE, SUITE 1
UNION CITY, TN 38261
Obion County (731) 885-2226

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 Pediatric Place Of Union City LLC's NPI number?

The NPI number for Pediatric Place Of Union City LLC is 1578762647. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Pediatric Place Of Union City LLC located?

Pediatric Place Of Union City LLC is located at 1117 S Miles Ave Suite 3, Union City, TN 38261. The listed phone number is (731) 885-4338.

What is Pediatric Place Of Union City LLC's specialty?

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

Does Pediatric Place Of Union City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1074396) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Place Of Union City LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Pediatric Place Of Union City 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 Pediatric Place Of Union City LLC was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.