KIDZCARE PEDIATRICS, PLLC (NPI# 1679805493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679805493 |
| Entity Type | Organization |
| Organization Name | KIDZCARE PEDIATRICS, PLLC |
| Other Organization Name | KIDZCARE PEDIATRICS |
| Practice Address |
119 Epperson St Athens TN 37303-3478 |
| Mailing Address |
Po Box 925 Athens TN 37371-0925 |
| Practice Telephone | 4237457500 |
| Practice Fax Number | 4237457501 |
| Mailing Telephone | 4237457500 |
| Mailing Fax Number | 4237457501 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | DR. SAJI GOPINATHAN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4237457500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MD0000034697 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kidzcare Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080600 | Kidzcare Pediatrics, Pllc | Clinic/Center | 2317 S Roane St, Harriman, TN 37748-8653 | 2020-10-13 |
| 1215471198 | Kidzcare Pediatrics, Pllc | Clinic/Center | 4233 Highway 411, Suite B, Madisonville, TN 37354-1571 | 2016-12-12 |
| Street Address |
119 EPPERSON ST |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1467078840 | Jessica L Acker | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-06-22 |
| 1295366987 | Kala Grant | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-01-31 |
| 1144874165 | Elizabeth Thompson | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2019-07-29 |
| 1962954362 | Qin Zou | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2016-11-01 |
| 1760815450 | Kristen Rogers Harris | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2013-08-16 |
| 1093958563 | Jennifer A Flynt | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2009-04-14 |
| 1346324977 | Clyde Sydney Martin | Urology | 119 Epperson St, Athens, TN 37303-3478 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1659670412 | Covenant Pediatrics, Pllc | Clinic/Center | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2011-03-19 |
| 1356320873 | East Texas Medical Center Athens | Clinic/Center | 2000 S Palestine St, Athens, TX 75751-5610 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIDZCARE PEDIATRICS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.