TENNET LLC
NPI 1972149169
Pediatrics in Watkinsville, GA

Active since November 22, 2019CLIA 11D2171238 · Waiver
1618 MARS HILL RD STE B, WATKINSVILLE, GA 30677(706) 705-4543 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tennet Llc NPPES

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

TENNET LLC (NPI 1972149169), doing business as Prime Time Pediatrics, is a healthcare organization registered as a pediatrics in Watkinsville, Georgia and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists David R Sprayberry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972149169
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTENNET LLC
Location Address1618 MARS HILL RD STE BWatkinsville, GA 30677-4847
Mailing Address1618 Mars Hill Rd Ste BWatkinsville, GA 30677-4847 · (706) 705-4543
Organization SubpartNo
Authorized OfficialDavid R SprayberryCeo · (706) 705-4543
Enumeration DateNovember 22, 2019
NPI 1972149169 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.
1618 MARS HILL RD STE B, Watkinsville, GA 30677

Other Names 1

Doing Business AsPrime Time Pediatrics

Other Identifiers 1

Other1447275805Npi

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

Accepted 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 11D2171238

Tennet, LLC Dba Prime Time Pediatrics · Watkinsville, GA
Active · expires Aug 27, 2027
CLIA Number11D2171238
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDavid R. Sprayberry
Laboratory Phone(706) 705-4634
Laboratory LocationTennet, LLC Dba Prime Time Pediatrics1618 Mars Hill Road, Suite B, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pediatrics
1618 MARS HILL RD STE B
WATKINSVILLE, GA 30677
Pediatrics
1618 MARS HILL RD STE B
WATKINSVILLE, GA 30677
Pediatrics
1618 MARS HILL RD STE B
WATKINSVILLE, GA 30677

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 Tennet LLC's NPI number?

The NPI number for Tennet LLC is 1972149169. It was assigned to this organization in the NPPES registry on November 22, 2019. The provider is doing business as Prime Time Pediatrics.

Where is Tennet LLC located?

Tennet LLC is located at 1618 Mars Hill Rd Ste B, Watkinsville, GA 30677. The listed phone number is (706) 705-4543.

What is Tennet LLC's specialty?

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

Does Tennet LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2171238) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tennet LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tennet LLC 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 Tennet LLC was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.