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

CHILDREN'S MEDICAL GROUP
NPI 1760456065
Pediatrics in Hermitage, TN

Active since February 14, 2006CLIA 44D0681732 · Waiver
3786 CENTRAL PIKE STE 130, HERMITAGE, TN 37076(615) 883-2200(615) 883-1104 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Medical Group NPPES

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

CHILDREN'S MEDICAL GROUP (NPI 1760456065) is a healthcare organization registered as a pediatrics in Hermitage, Tennessee and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Elizabeth Fairbank, President, as its authorized official.

NPPES Registry Identity

NPI1760456065
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS MEDICAL GROUP
Location Address3786 CENTRAL PIKE STE 130Hermitage, TN 37076-3498
Mailing Address3786 Central Pike Ste 130Hermitage, TN 37076-3498 · (615) 883-2200 · Fax (615) 883-1104
Phone(615) 883-2200
Fax(615) 883-1104
Organization SubpartNo
Authorized OfficialElizabeth FairbankPresident · (615) 883-2200
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1760456065 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.
3786 CENTRAL PIKE STE 130, Hermitage, TN 37076
Open in Google Maps ↗

Other Names 1

Doing Business AsChildren's Medical Group

Other Identifiers 1

Medicaid1517825TN

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

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 Waiver 44D0681732

Childrens Medical Group PC Summit Medical Center · Hermitage, TN
Active · expires Aug 24, 2026
CLIA Number44D0681732
Laboratory TypeOther
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorDr. Elizabeth H. Fairbank
Laboratory Phone(615) 883-2200
Laboratory LocationChildrens Medical Group PC Summit Medical Center3786 Central Pike Suite 130, Hermitage, TN 37076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ANNA KATRINA MANNESCHMIDT MD
Pediatrics
3786 CENTRAL PIKE STE 130
HERMITAGE, TN 37076
Davidson County (615) 883-2200
KATHRYN PENTICO CPNP-PC
Nurse Practitioner (Pediatrics)
3786 CENTRAL PIKE STE 130
HERMITAGE, TN 37076
Davidson County (615) 883-2200

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 Childrens Medical Group's NPI number?

The NPI number for Childrens Medical Group is 1760456065. It was assigned to this organization in the NPPES registry on February 14, 2006. The provider is doing business as Children's Medical Group.

Where is Childrens Medical Group located?

Childrens Medical Group is located at 3786 Central Pike Ste 130, Hermitage, TN 37076. The listed phone number is (615) 883-2200.

What is Childrens Medical Group's specialty?

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

Does Childrens Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0681732) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Childrens Medical Group was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.