Elite Pediatric and Adolescent Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38455 Issued in TN

Legal business name

ELITE PEDIATRIC AND ADOLESCENT MEDICINE

Practice address

214 Lakeview Rd
Suite 2
Somerville, TN 38068-9737

Phone

(901) 516-4082

Fax

(901) 516-4092

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Rush Hamilton, M.D.NPI 1730189945

Title

Owner

Phone

(901) 813-8861

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Derrick R Hamilton, MD

  • Pediatrics Physician
  • Somerville, TN
  • NPI 1730189945

  Pediatrics

  NPD Authorized official
• Rebecca Leigh Goedecke, CPNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1275884645
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1134435647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380680538",
            "telephone_number": "901-813-8861",
            "fax_number": "901-813-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAKEVIEW RD",
            "address_2": "SUITE 2",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689737",
            "telephone_number": "901-516-4082",
            "fax_number": "901-516-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "RUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-813-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "38455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shanice Douglas
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• Michelle G Elrod, FNP-C
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• Excelsior Podiatry Clinic PLLC
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• Family First Primary Care, Inc

• Pediatrics Physician in Somerville, TN
• Providers in Somerville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.