HOMETOWN PEDIATRICS PLLC
NPI 1790509917
Clinic/Center - Primary Care in Smithville, TN

Active since November 13, 2024CLIA 44D2320470 · Waiver
612 S CONGRESS BLVD STE A, SMITHVILLE, TN 37166(615) 215-7337 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hometown Pediatrics Pllc NPPES

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

HOMETOWN PEDIATRICS PLLC (NPI 1790509917) is a healthcare organization registered as a primary care in Smithville, Tennessee and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Heather Bradford, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1790509917
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOMETOWN PEDIATRICS PLLC
Location Address612 S CONGRESS BLVD STE ASmithville, TN 37166-2009
Mailing Address612 S Congress Blvd Ste ASmithville, TN 37166-2009 · (615) 215-7337
Organization SubpartNo
Authorized OfficialHeather BradfordOwner/aprn · (615) 215-7337
Enumeration DateNovember 13, 2024
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1790509917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
612 S CONGRESS BLVD STE A, Smithville, TN 37166

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 44D2320470

Hometown Pediatrics PLLC · Smithville, TN
Active · expires Mar 17, 2027
CLIA Number44D2320470
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorHeather M. Bradford
Laboratory Phone(615) 215-7337
Laboratory LocationHometown Pediatrics PLLC612 S Congress Blvd Ste A, Smithville, TN 37166
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

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

Nurse Practitioner (Pediatrics)
612 S CONGRESS BLVD STE A
SMITHVILLE, TN 37166

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 Hometown Pediatrics PLLC's NPI number?

The NPI number for Hometown Pediatrics PLLC is 1790509917. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is Hometown Pediatrics PLLC located?

Hometown Pediatrics PLLC is located at 612 S Congress Blvd Ste A, Smithville, TN 37166. The listed phone number is (615) 215-7337.

What is Hometown Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Hometown Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2320470) is associated with this NPI, valid through March 17, 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 Hometown Pediatrics PLLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.