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MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
NPI 1649314501
Pediatrics - Adolescent Medicine in Martin, TN

Active since February 16, 2007
142 MOUNT PELIA RD, MARTIN, TN 38237(731) 587-9542 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Pediatric And Adolescent Clinic, Pc NPPES

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

MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC (NPI 1649314501) is a healthcare organization registered as an adolescent medicine in Martin, Tennessee and active in the NPI registry since February 2007. The organization lists Barbara Roberts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649314501
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
Location Address142 MOUNT PELIA RDMartin, TN 38237-3812
Mailing Address142 Mount Pelia RdMartin, TN 38237-3812 · (731) 587-9542
Phone(731) 587-9542
Organization SubpartNo
Authorized OfficialBarbara RobertsOffice Manager · (731) 587-9542
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 11, 2007
✔ NPI 1649314501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in TN · MD 18562
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
142 MOUNT PELIA RD, Martin, TN 38237
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Other Identifiers 1

Medicaid3727836TN

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

Other Providers at the Same Location NPPES

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

DR. SUSAN C BREWER MD
Pediatrics (Adolescent Medicine)
142 MOUNT PELIA RD
MARTIN, TN 38237
Weakley County (731) 587-9542

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 Martin Pediatric And Adolescent Clinic, PC's NPI number?

The NPI number for Martin Pediatric And Adolescent Clinic, PC is 1649314501. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Martin Pediatric And Adolescent Clinic, PC located?

Martin Pediatric And Adolescent Clinic, PC is located at 142 Mount Pelia Rd, Martin, TN 38237. The listed phone number is (731) 587-9542.

What is Martin Pediatric And Adolescent Clinic, PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Martin Pediatric And Adolescent Clinic, PC was last updated on July 11, 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.