ACADEMY CHILDREN'S CLINIC
NPI 1992144380
Nurse Practitioner - Pediatrics in Nashville, TN

Active since June 18, 2013CLIA Certified · 2 labs
590 BENZING ROAD, NASHVILLE, TN 37211(615) 988-2340 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Dec 8, 2020 (2 updates tracked since 2020).

About Academy Children's Clinic NPPES

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

ACADEMY CHILDREN'S CLINIC (NPI 1992144380) is a healthcare organization registered as a pediatrics in Nashville, Tennessee and active in the NPI registry since June 2013. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Nashville, and lists Joseph Sanfilippo, Owner, as its authorized official.

NPPES Registry Identity

NPI1992144380
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameNASHVILLE PEDIATRIC PROVIDERS, LLC
Location Address590 BENZING ROADNashville, TN 37211
Mailing AddressPo Box 2047Brentwood, TN 37024-2047 · (615) 988-2340 · Fax (615) 988-2643
Organization SubpartNo
Authorized OfficialJoseph SanfilippoOwner · (615) 988-2340
Enumeration DateJune 18, 2013
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1992144380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 8448
590 BENZING ROAD, Nashville, TN 37211

Other Names 1

Doing Business AsAcademy Children's Clinic

Secondary Practice Location 1

Location 15530 Eulala DrNashville, TN 37211-6145 · Phone (615) 988-2340

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Academy Children's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Academy Children's Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Pediatric Medicine
NPI 1699977843
4901 NOLENSVILLE PIKE
Nashville, TN 37211
(615) 988-2340
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1801175856
4901 NOLENSVILLE PIKE
Nashville, TN 37211
(615) 988-2340
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1629127303
4901 NOLENSVILLE PIKE
Nashville, TN 37211
(615) 988-2340
✔ PECOS1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 44D2063489

Nashville Pediatric Providers LLC Dba Academy Children's Clinic · Antioch, TN
Active · expires Aug 4, 2027
CLIA Number44D2063489
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorJoseph Sanfilippo
Laboratory Phone(615) 988-2340
Laboratory LocationNashville Pediatric Providers LLC Dba Academy Children's Clinic590 Benzing Road, Antioch, TN 37013
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2176519

Nashville Pediatric Provider LLC Dba Academy Childrens Clinic Site 2 · Antioch, TN
Active · expires Dec 16, 2027
CLIA Number44D2176519
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorJoseph Sanfilippo
Laboratory Phone(615) 988-2340
Laboratory LocationNashville Pediatric Provider LLC Dba Academy Childrens Clinic Site 2590 Benzing Rd, Antioch, TN 37013
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nashville Pediatric Providers, LLC's NPI number?

The NPI number for Nashville Pediatric Providers, LLC is 1992144380. It was assigned to this organization in the NPPES registry on June 18, 2013. The provider is doing business as Academy Children's Clinic.

Where is Nashville Pediatric Providers, LLC located?

Nashville Pediatric Providers, LLC is located at 590 Benzing Road, Nashville, TN 37211. The listed phone number is (615) 988-2340.

What is Nashville Pediatric Providers, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nashville Pediatric Providers, LLC enrolled in Medicare?

Yes. Nashville Pediatric Providers, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nashville Pediatric Providers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nashville Pediatric Providers, LLC, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nashville Pediatric Providers, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Nashville Pediatric Providers, LLC was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.