1. Home
  2. Directory
  3. Tennessee
  4. Waverly
  5. Clinic Center
  6. NPI Profile

PRIME PEDIATRICS LLP
NPI 1881364941
Clinic/Center - Primary Care in Waverly, TN

Active since September 20, 2021
300 S CLYDETON RD, WAVERLY, TN 37185(615) 476-7812 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Sep 20, 2021 (2 updates tracked since 2021).

About Prime Pediatrics Llp NPPES

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

PRIME PEDIATRICS LLP (NPI 1881364941) is a healthcare organization registered as a primary care in Waverly, Tennessee and active in the NPI registry since September 2021. The organization lists Alexander Christian Black, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1881364941
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIME PEDIATRICS LLP
Location Address300 S CLYDETON RDWaverly, TN 37185-2140
Mailing Address765 Nancy Shawl RdDickson, TN 37055-5010 · (615) 476-7812
Phone(615) 476-7812
Organization SubpartNo
Authorized OfficialAlexander Christian BlackPhysician Assistant · (615) 476-7812
Enumeration DateSeptember 20, 2021
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1881364941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
300 S CLYDETON RD, Waverly, TN 37185
Open in Google Maps ↗

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.

DICKSON MEDICAL ASSOCIATES, PC
Clinic/Center (Rural Health)
300 S CLYDETON RD
WAVERLY, TN 37185
Humphreys County (615) 446-5121
PREMIER CARE PEDIATRICS
Pediatrics
300 S CLYDETON RD
WAVERLY, TN 37185
Humphreys County (931) 296-2737
DR. NESTOR ARMANDO OJEDA M.D.
Pediatrics
300 S CLYDETON RD
WAVERLY, TN 37185
Humphreys County (931) 296-2737
ALEXANDRIA LYNNLY COLE APRN
Nurse Practitioner (Family)
300 S CLYDETON RD
WAVERLY, TN 37185
Humphreys County (931) 296-2737
DR. JEREMY GILLIAM BRADLEY M.D.
Pediatrics
300 S CLYDETON RD
WAVERLY, TN 37185
Humphreys County (931) 296-2737

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 Prime Pediatrics LLP's NPI number?

The NPI number for Prime Pediatrics LLP is 1881364941. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Prime Pediatrics LLP located?

Prime Pediatrics LLP is located at 300 S Clydeton Rd, Waverly, TN 37185. The listed phone number is (615) 476-7812.

What is Prime Pediatrics LLP's specialty?

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

When was this NPI record last updated?

The NPPES record for Prime Pediatrics LLP was last updated on September 28, 2021. 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.