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Contact Information

THE CENTER FOR PEDIATRIC EXCELLENCE, PLLC
300 STONECREST BLVD STE 250
SMYRNA, TN37167-6832
 Phone: 629-220-0211
 Fax: 629-220-0210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for THE CENTER FOR PEDIATRIC EXCELLENCE, PLLC

NPI Number 1386382273
LBN Legal business name THE CENTER FOR PEDIATRIC EXCELLENCE, PLLC
Authorized official DEREK JOHNSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2022
Last updated 11/30/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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