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THE PEDIATRIC CLINIC PLLC
NPI 1962080614
Pediatrics in Arlington, TN

Active since April 01, 2021CLIA 44D2233838 · Certificate of Compliance
11870 CRANSTON DR STE 104, ARLINGTON, TN 38002(901) 831-8190 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2021, Apr 8, 2021, Apr 1, 2021 (3 updates tracked since 2021).

About The Pediatric Clinic Pllc NPPES

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

THE PEDIATRIC CLINIC PLLC (NPI 1962080614) is a healthcare organization registered as a pediatrics in Arlington, Tennessee and active in the NPI registry since April 2021. The organization holds a CLIA Certificate of Compliance certificate valid through May 9, 2028 and lists Lisa Powell, Owner, as its authorized official.

NPPES Registry Identity

NPI1962080614
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC CLINIC PLLC
Location Address11870 CRANSTON DR STE 104Arlington, TN 38002-4913
Mailing Address11870 Cranston Dr Ste 104Arlington, TN 38002-4913
Phone(901) 831-8190
Organization SubpartNo
Authorized OfficialLisa PowellOwner · (901) 317-7958
Enumeration DateApril 1, 2021
Last NPPES UpdateMay 8, 20213 updates tracked since enumeration
NPPES CertifiedMay 8, 2021
✔ NPI 1962080614 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.
11870 CRANSTON DR STE 104, Arlington, TN 38002
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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 44D2233838

Pediatric Clinic, PLLC, The Dba The Pediatric Clinic · Eads, TN
Active · expires May 9, 2028
CLIA Number44D2233838
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorMegan L. Weaver
Laboratory Phone(901) 317-7958
Laboratory LocationPediatric Clinic, PLLC, The Dba The Pediatric Clinic3161 Hwy 64, Suite 100, Eads, TN 38028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

HEATHER DAWN VANDIVER MSN, FNP-C
Nurse Practitioner
11870 CRANSTON DR STE 104
ARLINGTON, TN 38002
Shelby County (901) 317-7958
LISA DAWN POWELL FNP-BC
Nurse Practitioner (Family)
11870 CRANSTON DR STE 104
ARLINGTON, TN 38002
Shelby County (870) 559-4252

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 Pediatric Clinic PLLC's NPI number?

The NPI number for The Pediatric Clinic PLLC is 1962080614. It was assigned to this organization in the NPPES registry on April 1, 2021.

Where is The Pediatric Clinic PLLC located?

The Pediatric Clinic PLLC is located at 11870 Cranston Dr Ste 104, Arlington, TN 38002. The listed phone number is (901) 831-8190.

What is The Pediatric Clinic PLLC's specialty?

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

Does The Pediatric Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2233838) is associated with this NPI, valid through May 9, 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 Pediatric Clinic PLLC was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.