THE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.
NPI 1942469606
Pediatrics in Jackson, TN

Q: What is The Children's Clinic Of West Tennessee P.A.'s specialty?

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

Active since June 06, 2008CLIA 44D0315529 · Certificate of Compliance

264 COATSLAND DR, JACKSON, TN 38301(731) 423-1500(731) 423-0342 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About The Children's Clinic Of West Tennessee P.a. NPPES

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

THE CHILDREN'S CLINIC OF WEST TENNESSEE P.A. (NPI 1942469606) is a healthcare organization registered as a pediatrics in Jackson, Tennessee and active in the NPI registry since June 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 25, 2028 and lists David Leslie Self, Partner, as its authorized official.

NPPES Registry Identity

NPI1942469606

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTHE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.

Location Address264 COATSLAND DRJackson, TN 38301-3948

Mailing Address264 Coatsland DrJackson, TN 38301-3948 · (731) 423-1500 · Fax (731) 423-0342

Phone(731) 423-1500

Fax(731) 423-0342

Organization SubpartNo

Authorized OfficialDavid Leslie SelfPartner · (731) 423-1500

Enumeration DateJune 6, 2008

✔ NPI 1942469606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

264 COATSLAND DR, Jackson, TN 38301

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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

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 Compliance 44D0315529

Children's Clinic PA Of West Tennessee, The Dba The Children's Clinic, PA · Jackson, TN

Active · expires Apr 25, 2028

CLIA Number44D0315529

Laboratory TypePhysician Office

Certificate Effective DateApril 26, 2026

Certificate Expiration DateApril 25, 2028

Laboratory DirectorDr. Jeremy T. Blake

Laboratory Phone(731) 423-1500

Laboratory LocationChildren's Clinic PA Of West Tennessee, The Dba The Children's Clinic, PA264 Coatsland Dr, Jackson, TN 38301

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 The Children's Clinic Of West Tennessee P.A.'s NPI number?

The NPI number for The Children's Clinic Of West Tennessee P.A. is 1942469606. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is The Children's Clinic Of West Tennessee P.A. located?

The Children's Clinic Of West Tennessee P.A. is located at 264 Coatsland Dr, Jackson, TN 38301. The listed phone number is (731) 423-1500.

What is The Children's Clinic Of West Tennessee P.A.'s specialty?

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

Does The Children's Clinic Of West Tennessee P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0315529) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Children's Clinic Of West Tennessee P.A. was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.