TRI-CITIES PEDIATRIC ENDOCRINOLOGY, PLLC
NPI 1851721369
Clinic/Center - Medical Specialty in Gray, TN

Q: What is Tri-Cities Pediatric Endocrinology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 19, 2013

140 OLD GRAY STATION RD, SUITE 200, GRAY, TN 37615(423) 483-0828(423) 546-4103 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tri-cities Pediatric Endocrinology, Pllc NPPES

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

TRI-CITIES PEDIATRIC ENDOCRINOLOGY, PLLC (NPI 1851721369) is a healthcare organization registered as a medical specialty in Gray, Tennessee and active in the NPI registry since November 2013. The organization lists Mary Gwyn Roper, Owner, as its authorized official.

NPPES Registry Identity

NPI1851721369

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameTRI-CITIES PEDIATRIC ENDOCRINOLOGY, PLLC

Location Address140 OLD GRAY STATION RD, SUITE 200Gray, TN 37615-3612

Mailing AddressPo Box 3343Johnson City, TN 37602-3343 · (423) 483-0828 · Fax (423) 546-4103

Phone(423) 483-0828

Fax(423) 546-4103

Organization SubpartNo

Authorized OfficialMary Gwyn RoperOwner · (423) 483-0828

Enumeration DateNovember 19, 2013

Last NPPES UpdateFebruary 5, 2015

✔ NPI 1851721369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in TN · 37128

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

140 OLD GRAY STATION RD, Gray, TN 37615

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Other Providers at the Same Location NPPES

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

MS. SUSAN KAY PENNYPACKER FNP C

Nurse Practitioner (Family)

140 OLD GRAY STATION RD, SUITE 200
GRAY, TN 37615

Washington County (423) 477-2042

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 Tri-Cities Pediatric Endocrinology, PLLC's NPI number?

The NPI number for Tri-Cities Pediatric Endocrinology, PLLC is 1851721369. It was assigned to this organization in the NPPES registry on November 19, 2013.

Where is Tri-Cities Pediatric Endocrinology, PLLC located?

Tri-Cities Pediatric Endocrinology, PLLC is located at 140 Old Gray Station Rd Suite 200, Gray, TN 37615. The listed phone number is (423) 483-0828.

What is Tri-Cities Pediatric Endocrinology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Tri-Cities Pediatric Endocrinology, PLLC was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.