FAMILY AND PEDIATRIC CARE CLINIC LLC
NPI 1861844763
Nurse Practitioner - Family in Oneida, TN

Active since July 05, 2016CLIA 44D2099482 · Waiver
19067 ALBERTA ST, ONEIDA, TN 37841(423) 569-2754(423) 569-2756 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2019, Oct 16, 2017, Feb 16, 2017 and 2 more (5 updates tracked since 2016).

About Family And Pediatric Care Clinic Llc NPPES

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

FAMILY AND PEDIATRIC CARE CLINIC LLC (NPI 1861844763) is a healthcare organization registered as a family in Oneida, Tennessee and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Donna West, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861844763
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY AND PEDIATRIC CARE CLINIC LLC
Location Address19067 ALBERTA STOneida, TN 37841-6002
Mailing AddressPo Box 681Sylva, NC 28779-0681 · (828) 339-7253 · Fax (828) 586-8209
Fax(423) 569-2756
Organization SubpartNo
Authorized OfficialDonna WestOffice Manager · (423) 569-2754
Enumeration DateJuly 5, 2016
Last NPPES UpdateJune 19, 20195 updates tracked since enumeration
NPI 1861844763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 0000020552 Licensed in TN · 0000016521
19067 ALBERTA ST, Oneida, TN 37841

Other Identifiers 3

Other103G741696TN · Tn Medicare
Other6080615TN · Bcbs Tn
MedicaidQ025132TN

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 MULTIPLE 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 44D2099482

Family And Pediatric Care Clinic, LLC · Oneida, TN
Active · expires Jul 27, 2027
CLIA Number44D2099482
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Steven J. Thompson
Laboratory Phone(423) 569-2754
Laboratory LocationFamily And Pediatric Care Clinic, LLC19067 Alberta Street, Oneida, TN 37841
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 3

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

Nurse Practitioner (Family)
19067 ALBERTA ST
ONEIDA, TN 37841
Pediatrics
19067 ALBERTA ST
ONEIDA, TN 37841
Nurse Practitioner (Family)
19067 ALBERTA ST
ONEIDA, TN 37841

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 Family And Pediatric Care Clinic LLC's NPI number?

The NPI number for Family And Pediatric Care Clinic LLC is 1861844763. It was assigned to this organization in the NPPES registry on July 5, 2016.

Where is Family And Pediatric Care Clinic LLC located?

Family And Pediatric Care Clinic LLC is located at 19067 Alberta St, Oneida, TN 37841. The listed phone number is (423) 569-2754.

What is Family And Pediatric Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Family And Pediatric Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2099482) is associated with this NPI, valid through July 27, 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 Family And Pediatric Care Clinic LLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.