NPIMap

Organization Active NPI

Goodlettsville Pediatrics, PC

  • Pediatrics Physician
  • Goodlettsville, TN
National Provider Identifier
1093700833
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GOODLETTSVILLE PEDIATRICS, PC
Practice address
3103 Business Park Cir Ste 100
Goodlettsville, TN 37072-3676
Phone
(615) 851-7865
Fax
(615) 851-7853
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patty A Schleicher
Title
Office Manager
Phone
(615) 851-7865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X

Addresses

Primary practice location

3103 Business Park Cir Ste 100
Goodlettsville, TN 37072-3676

Mailing address

3103 Business Park Cir Ste 100
Goodlettsville, TN 37072-3676
Phone (615) 851-7865

Other identifiers 2

IdentifierTypeStateIssuer
4440551OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1513470MedicaidTN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0886445Goodlettsville Pediatrics, a Member of Summit3103 Business Park Circle Suite 100, Goodlettsville, TN 37072ComplianceJul 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1093700833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723676",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723676",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLETTSVILLE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SCHLEICHER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-851-7865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4440551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513470",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.