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TULLAHOMA PEDIATRICS PLLC
NPI 1770562142
Pediatrics in Tullahoma, TN

Active since January 12, 2006CLIA 44D0971512 · Waiver
1330 CEDAR LN, BLDG B SUITE 900, TULLAHOMA, TN 37388(931) 455-2674(931) 455-7594 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tullahoma Pediatrics Pllc NPPES

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

TULLAHOMA PEDIATRICS PLLC (NPI 1770562142) is a healthcare organization registered as a pediatrics in Tullahoma, Tennessee and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Caroline B Tuck, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770562142
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTULLAHOMA PEDIATRICS PLLC
Location Address1330 CEDAR LN, BLDG B SUITE 900Tullahoma, TN 37388-2283
Mailing AddressPo Box 1327Tullahoma, TN 37388-1327 · (931) 455-2674 · Fax (931) 455-7594
Phone(931) 455-2674
Fax(931) 455-7594
Organization SubpartNo
Authorized OfficialCaroline B TuckAdministrator · (931) 455-2674
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1770562142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1330 CEDAR LN, Tullahoma, TN 37388
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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 44D0971512

Tullahoma Pediatrics PLLC · Tullahoma, TN
Active · expires Nov 2, 2027
CLIA Number44D0971512
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. Clifford A. Seyler
Laboratory Phone(931) 455-2674
Laboratory LocationTullahoma Pediatrics PLLC1330 Cedar Lane, Bldg B, Suite 900, Tullahoma, TN 37388
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 6

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

TULLAHOMA INTERNAL MEDICINE, PLLC
Internal Medicine
1330 CEDAR LN, SUITE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-3366
HIGHLAND RIM CARDIAC REHAB, LLC
Clinic/Center (Rehabilitation, Cardiac Facilities)
1330 CEDAR LN, SUITE 200
TULLAHOMA, TN 37388
Coffee County (931) 455-1092
KARI S PITCHKO CPNP
Nurse Practitioner (Pediatrics)
1330 CEDAR LN, BLDG B SUITE 900
TULLAHOMA, TN 37388
Coffee County (931) 455-2674
TULLAHOMA NEURODIAGNOSTIC CLINIC PC
Psychiatry & Neurology (Neurology)
1330 CEDAR LN, SUITE 700
TULLAHOMA, TN 37388
Coffee County (931) 455-1219
RIMDA GUPTA M.D.
Internal Medicine
1330 CEDAR LN, SUITE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-3366
COFFEE COUNTY INTERNAL MEDICINE,PC
Internal Medicine
1330 CEDAR LN, SUITE 1200
TULLAHOMA, TN 37388
Coffee County (931) 454-9090

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 Tullahoma Pediatrics PLLC's NPI number?

The NPI number for Tullahoma Pediatrics PLLC is 1770562142. It was assigned to this organization in the NPPES registry on January 12, 2006.

Where is Tullahoma Pediatrics PLLC located?

Tullahoma Pediatrics PLLC is located at 1330 Cedar Ln Bldg B Suite 900, Tullahoma, TN 37388. The listed phone number is (931) 455-2674.

What is Tullahoma Pediatrics PLLC's specialty?

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

Does Tullahoma Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0971512) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tullahoma Pediatrics PLLC was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.