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
-
John Robert Fox, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0963636 | Pediatric Specialists of Marion County | Compliance | Jul 26, 2026 |
National Provider Directory
Locations
325 S Cedar Ave
Ste 1
South Pittsburg, TN 37380
Phone (423) 228-4159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
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
- George Harold Lloyd Jr.
- LP South Pittsburg LLC
- Charles Taylor Millirons III
- One to One Health PLLC
- Cari Beth Page
- Kathy Cartwright Philyaw
- Shelby Philyaw
- PHL Inc
- Presley Darnell Powers
- Renaissance Health and Surgical Associates, P.C.
All providers in South Pittsburg, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.