Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC.
NPI 1619876992
Pediatrics in Knoxville, TN

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

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

Active since November 03, 2026

4005 FOUNTAIN VALLEY DR STE 150, KNOXVILLE, TN 37918(865) 223-6561(865) 377-1035 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

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

EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC. (NPI 1619876992) is a healthcare organization registered as a pediatrics in Knoxville, Tennessee and active in the NPI registry since November 2026. The organization lists Andrew Rosendahl, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619876992

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC.

Location Address4005 FOUNTAIN VALLEY DR STE 150Knoxville, TN 37918-5334

Mailing AddressPo Box 50068Knoxville, TN 37950-0068 · (865) 541-8895 · Fax (865) 633-4808

Phone(865) 223-6561

Fax(865) 377-1035

Organization SubpartYes

Authorized OfficialAndrew RosendahlCfo · (865) 541-8154

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1619876992 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.

4005 FOUNTAIN VALLEY DR STE 150, Knoxville, TN 37918

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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

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 Primary Care Center, Inc.'s NPI number?

The NPI number for East Tennessee Children's Primary Care Center, Inc. is 1619876992. It was assigned to this organization in the NPPES registry on November 3, 2026.

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

East Tennessee Children's Primary Care Center, Inc. is located at 4005 Fountain Valley Dr Ste 150, Knoxville, TN 37918. The listed phone number is (865) 223-6561.

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

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

When was this NPI record last updated?

The NPPES record for East Tennessee Children's Primary Care Center, Inc. was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.