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KIDS CENTRAL PEDIATRICS, INC.
NPI 1609906676
Clinic/Center - Primary Care in Oak Ridge, TN

Active since March 07, 2007CLIA Certified · 3 labs
575 OAK RIDGE TPKE STE 120, OAK RIDGE, TN 37830(865) 483-5678(865) 483-4027 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids Central Pediatrics, Inc. NPPES

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

KIDS CENTRAL PEDIATRICS, INC. (NPI 1609906676) is a healthcare organization registered as a primary care in Oak Ridge, Tennessee and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Clifford Dale James Iii, Doctor, as its authorized official.

NPPES Registry Identity

NPI1609906676
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKIDS CENTRAL PEDIATRICS, INC.
Location Address575 OAK RIDGE TPKE STE 120Oak Ridge, TN 37830-7173
Mailing Address575 Oak Ridge Tpke Ste 120Oak Ridge, TN 37830-7173 · (865) 483-5678 · Fax (865) 483-4027
Phone(865) 483-5678
Fax(865) 483-4027
Organization SubpartNo
Authorized OfficialClifford Dale James IiiDoctor · (865) 483-5678
Enumeration DateMarch 7, 2007
Last NPPES UpdateMay 30, 2008
✔ NPI 1609906676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · MD0000033918
575 OAK RIDGE TPKE STE 120, Oak Ridge, TN 37830
Open in Google Maps ↗

Other Identifiers 4

Other4035193TN · Tenncare Select
Other4035193TN · Blue Cross Blue Shield
Medicare UPINH13280TN
Other4035193TN · Bluecare Tenncare

CLIA Laboratory Certificates CMS CLIA 3

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 44D1000625

Kids Central Pediatrics · Oak Ridge, TN
Active · expires Jun 18, 2028
CLIA Number44D1000625
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorJames D. Clifford MD
Laboratory Phone(865) 483-5678
Laboratory LocationKids Central Pediatrics575 Oak Ridge Turnpike Suite #120, Oak Ridge, TN 37830
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2257560

Kids Central Pediatrics · Maryville, TN
Active · expires Apr 6, 2028
CLIA Number44D2257560
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorClifford D. James
Laboratory Phone(865) 483-5678
Laboratory LocationKids Central Pediatrics114 Parliament Drive, Maryville, TN 37804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2280414

Kids Central Pediatrics, West Knoxville · Knoxville, TN
Active · expires Apr 18, 2027
CLIA Number44D2280414
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorDr. Clifford D. James III
Laboratory Phone(865) 483-5678
Laboratory LocationKids Central Pediatrics, West Knoxville10133 Sherrill Blvd Ste 210, Knoxville, TN 37932
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JONAH DUGGINS
Physician Assistant
575 OAK RIDGE TPKE STE 120
OAK RIDGE, TN 37830
Anderson County (865) 483-5678

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 Kids Central Pediatrics, Inc.'s NPI number?

The NPI number for Kids Central Pediatrics, Inc. is 1609906676. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Kids Central Pediatrics, Inc. located?

Kids Central Pediatrics, Inc. is located at 575 Oak Ridge Tpke Ste 120, Oak Ridge, TN 37830. The listed phone number is (865) 483-5678.

What is Kids Central Pediatrics, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kids Central Pediatrics, Inc. hold CLIA laboratory certificates?

Yes. 3 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 Kids Central Pediatrics, Inc. was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.