Pediatric Specialists of Marion County PLLC

Organization Active NPI Pediatrics Physician · South Pittsburg, TN

NPI 1154580736 · NPPES record last updated May 24, 2012

Key facts

NPI
1154580736
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
PEDIATRIC SPECIALISTS OF MARION COUNTY PLLC
Practice address
325 South Cedar Ave
Suite 1
South Pittsburg, TN 37380-1305
Phone
(423) 228-4159
NPI assigned
Jun 9, 2008
Organization subpart
No

Authorized official

Name
Dr. John Robert Fox, M.D.
Title
Partner
Phone
(423) 228-4159

Practitioners 2

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0963636Pediatric Specialists of Marion County
325 S Cedar Ave Suite 1, South Pittsburg, TN 37380
ComplianceJul 26, 2026

National Provider Directory

Locations

325 S Cedar Ave
Ste 1
South Pittsburg, TN 37380
Phone (423) 228-4159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

325 South Cedar Ave
Suite 1
South Pittsburg, TN 37380-1305

Mailing address

325 South Cedar Ave
Suite 1
South Pittsburg, TN 37380-1305
Phone (423) 228-4159

Other providers in South Pittsburg, TN

All providers in South Pittsburg, TN · Pediatrics Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.