WAVERLY PEDIATRIC AND ADULT CARE
NPI 1962796888
Pediatrics - Adolescent Medicine in Waverly, TN

Q: What is Waverly Pediatric And Adult Care's NPI number?

The NPI number for Waverly Pediatric And Adult Care is 1962796888. It was assigned to this organization in the NPPES registry on June 8, 2011.

Q: What is Waverly Pediatric And Adult Care's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since June 08, 2011

1034 W MAIN ST, WAVERLY, TN 37185(931) 296-7000(931) 296-7231 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Waverly Pediatric And Adult Care NPPES

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

WAVERLY PEDIATRIC AND ADULT CARE (NPI 1962796888) is a healthcare organization registered as an adolescent medicine in Waverly, Tennessee and active in the NPI registry since June 2011. The organization lists Mary Angela Skelton, Owner, as its authorized official.

NPPES Registry Identity

NPI1962796888

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameWAVERLY PEDIATRIC AND ADULT CARE

Location Address1034 W MAIN STWaverly, TN 37185-1447

Mailing Address1034 W Main StWaverly, TN 37185-1447 · (931) 296-7000 · Fax (931) 296-7231

Phone(931) 296-7000

Fax(931) 296-7231

Organization SubpartNo

Authorized OfficialMary Angela SkeltonOwner · (931) 296-7000

Enumeration DateJune 8, 2011

✔ NPI 1962796888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in TN · MD8719

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License APN0000015777 (TN)

1034 W MAIN ST, Waverly, TN 37185

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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

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.

MRS. MELANIE LEIGH DOWLING CPNP

Nurse Practitioner (Pediatrics)

1034 W MAIN ST
WAVERLY, TN 37185

Humphreys County (931) 296-7000

MANDI NICOLE BEUERLEIN APRN, FNP-BC

Nurse Practitioner (Family)

1034 W MAIN ST
WAVERLY, TN 37185

Humphreys County (931) 296-7000

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 Waverly Pediatric And Adult Care's NPI number?

The NPI number for Waverly Pediatric And Adult Care is 1962796888. It was assigned to this organization in the NPPES registry on June 8, 2011.

Where is Waverly Pediatric And Adult Care located?

Waverly Pediatric And Adult Care is located at 1034 W Main St, Waverly, TN 37185. The listed phone number is (931) 296-7000.

What is Waverly Pediatric And Adult Care's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Waverly Pediatric And Adult Care was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.