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TRAVERSE AREA PEDIATRIC AND ADOLESCENT CLINIC PLC
NPI 1821380031
Pediatrics in Traverse City, MI

Active since May 05, 2011CLIA 23D2030172 · Waiver
4020 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 421-8099(231) 421-8599 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traverse Area Pediatric And Adolescent Clinic Plc NPPES

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

TRAVERSE AREA PEDIATRIC AND ADOLESCENT CLINIC PLC (NPI 1821380031) is a healthcare organization registered as a pediatrics in Traverse City, Michigan and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Karla Marie Smith, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1821380031
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTRAVERSE AREA PEDIATRIC AND ADOLESCENT CLINIC PLC
Location Address4020 W ROYAL DRTraverse City, MI 49684-8965
Mailing Address4020 W Royal DrTraverse City, MI 49684-8965 · (231) 421-8099 · Fax (231) 421-8599
Phone(231) 421-8099
Fax(231) 421-8599
Organization SubpartNo
Authorized OfficialKarla Marie SmithManaging Partner · (231) 421-8099
Enumeration DateMay 5, 2011
Last NPPES UpdateApril 16, 2013
✔ NPI 1821380031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 2522728
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.
4020 W ROYAL DR, Traverse City, MI 49684
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2030172

Traverse Area Pediatric & Adolescent Clinic Plc · Traverse City, MI
Active · expires Sep 21, 2027
CLIA Number23D2030172
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorKarla M. Smith
Laboratory Phone(231) 421-8099
Laboratory LocationTraverse Area Pediatric & Adolescent Clinic Plc4020 W Royal Drive, Traverse City, MI 49684
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. BENJAMIN HAZEN MD
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-8099
DR. LUANN K LABIAN MD
Pediatrics (Adolescent Medicine)
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-8099
DR. MEGAN LEAH STILWILL DO
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-8099
KARLA M SMITH MD
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-8099
JENNIFER SCHELL DO
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-8099

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 Traverse Area Pediatric And Adolescent Clinic Plc's NPI number?

The NPI number for Traverse Area Pediatric And Adolescent Clinic Plc is 1821380031. It was assigned to this organization in the NPPES registry on May 5, 2011.

Where is Traverse Area Pediatric And Adolescent Clinic Plc located?

Traverse Area Pediatric And Adolescent Clinic Plc is located at 4020 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 421-8099.

What is Traverse Area Pediatric And Adolescent Clinic Plc's specialty?

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

Does Traverse Area Pediatric And Adolescent Clinic Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2030172) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Traverse Area Pediatric And Adolescent Clinic Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Traverse Area Pediatric And Adolescent Clinic Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Traverse Area Pediatric And Adolescent Clinic Plc was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.