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PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC
NPI 1679929285
Clinic/Center - Rural Health in Dyersburg, TN

Active since May 12, 2016
1501 BRAYTON AVE, DYERSBURG, TN 38024(731) 285-4111 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Sep 1, 2016, May 12, 2016 (3 updates tracked since 2016).

About Pediatric Associates Of West Tennessee Pllc NPPES

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

PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC (NPI 1679929285) is a healthcare organization registered as a rural health in Dyersburg, Tennessee and active in the NPI registry since May 2016. The organization lists Jamie L Ellerbrook, Owner, as its authorized official.

NPPES Registry Identity

NPI1679929285
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC
Location Address1501 BRAYTON AVEDyersburg, TN 38024-3158
Mailing Address1501 Brayton AveDyersburg, TN 38024-3158 · (731) 285-4111
Phone(731) 285-4111
Organization SubpartNo
Authorized OfficialJamie L EllerbrookOwner · (731) 285-4111
Enumeration DateMay 12, 2016
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1679929285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 0000014756 (TN)
1501 BRAYTON AVE, Dyersburg, TN 38024
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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

Other Providers at the Same Location NPPES 5

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

JAMIE L ELLERBROOK APN
Nurse Practitioner (Pediatrics)
1501 BRAYTON AVE
DYERSBURG, TN 38024
Dyer County (731) 285-4111
PEDIATRIC ASSOCIATES, P.C.
Specialist
1501 BRAYTON AVE
DYERSBURG, TN 38024
Dyer County (731) 285-4111
GARINE LEPEJIAN M.D.
Specialist
1501 BRAYTON AVE
DYERSBURG, TN 38024
Dyer County (731) 285-4111
ANNE BARRET RICHARDS MSN, APRN, FNP-C
Nurse Practitioner (Pediatrics)
1501 BRAYTON AVE
DYERSBURG, TN 38024
Dyer County (731) 285-4111
JANE ALISON RILES DNP-C
Nurse Practitioner (Pediatrics)
1501 BRAYTON AVE
DYERSBURG, TN 38024
Dyer County (731) 285-4111

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 Associates Of West Tennessee PLLC's NPI number?

The NPI number for Pediatric Associates Of West Tennessee PLLC is 1679929285. It was assigned to this organization in the NPPES registry on May 12, 2016.

Where is Pediatric Associates Of West Tennessee PLLC located?

Pediatric Associates Of West Tennessee PLLC is located at 1501 Brayton Ave, Dyersburg, TN 38024. The listed phone number is (731) 285-4111.

What is Pediatric Associates Of West Tennessee PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of West Tennessee PLLC was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.