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BRENTWOOD PEDIATRICS PLLC
NPI 1962508937
Pediatrics in Brentwood, TN

Active since September 16, 2006CLIA 44D1060433 · Waiver
5111 MARYLAND WAY, SUITE 301, BRENTWOOD, TN 37027(615) 661-4256 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brentwood Pediatrics Pllc NPPES

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

BRENTWOOD PEDIATRICS PLLC (NPI 1962508937) is a healthcare organization registered as a pediatrics in Brentwood, Tennessee and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Jill Andrea Forbess, Owner-physician, as its authorized official.

NPPES Registry Identity

NPI1962508937
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRENTWOOD PEDIATRICS PLLC
Location Address5111 MARYLAND WAY, SUITE 301Brentwood, TN 37027-7513
Mailing Address5111 Maryland Way, Suite 301Brentwood, TN 37024-7512 · (615) 661-4256
Phone(615) 661-4256
Organization SubpartNo
Authorized OfficialJill Andrea ForbessOwner-physician · (615) 661-4256
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 2, 2007
✔ NPI 1962508937 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.
5111 MARYLAND WAY, Brentwood, TN 37027
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Other Identifiers 1

Medicare UPING13169

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D1060433

Brentwood Pediatrics PLLC · Brentwood, TN
Active · expires May 20, 2028
CLIA Number44D1060433
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorSamouri Cummings
Laboratory Phone(615) 661-4256
Laboratory LocationBrentwood Pediatrics PLLC5111 Maryland Way Suite 301, Brentwood, TN 37027
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 8

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

SHELBY KARDOSH
Registered Nurse
5111 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 205-8457
DR. JAMES NORMAN BURTON DDS
Dentist
5111 MARYLAND WAY, SUITE 306
BRENTWOOD, TN 37027
Williamson County (615) 373-8001
DR. RODNEY MACK HAMILTON M.D.
Pediatrics
5111 MARYLAND WAY, SUITE 301
BRENTWOOD, TN 37027
Williamson County (615) 661-4256
MR. VINCENT E HICKS DDS
Dentist (Endodontics)
5111 MARYLAND WAY, SUITE 209
BRENTWOOD, TN 37027
Williamson County (615) 376-8865
MARYLAND FARMS FAMILY DENTISTRY
Dentist
5111 MARYLAND WAY, SUITE 306
BRENTWOOD, TN 37027
Williamson County (615) 373-8001
PATRICIA WILLIAMS MD
Pediatrics
5111 MARYLAND WAY, SUITE 301
BRENTWOOD, TN 37027
Williamson County (615) 661-4256
DR. JILL ANDREA FORBESS MD
Pediatrics
5111 MARYLAND WAY, STE 301
BRENTWOOD, TN 37027
Williamson County (615) 661-4256
LORI ANTOINETTE BREAUX MD
Pediatrics
5111 MARYLAND WAY, SUITE 301
BRENTWOOD, TN 37027
Williamson County (615) 661-4256

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 Brentwood Pediatrics PLLC's NPI number?

The NPI number for Brentwood Pediatrics PLLC is 1962508937. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Brentwood Pediatrics PLLC located?

Brentwood Pediatrics PLLC is located at 5111 Maryland Way Suite 301, Brentwood, TN 37027. The listed phone number is (615) 661-4256.

What is Brentwood Pediatrics PLLC's specialty?

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

Does Brentwood Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1060433) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brentwood Pediatrics PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brentwood Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brentwood Pediatrics PLLC was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.