Active NPI
Sydney Infante
- Pediatrics Physician
- Clarksville, TN
National Provider Identifier
1346014065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39017
- Practice address
- 111 Otis Smith Dr
Clarksville, TN 37043-8940 - Phone
- (931) 553-6666
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN324712 | GA | |
| Pediatrics Physician | 208000000X | 39017 | TN | Primary |
Addresses
Primary practice location
111 Otis Smith Dr
Clarksville, TN 37043-8940
Mailing address
111 Otis Smith Dr
Clarksville, TN 37043-8940
Phone (931) 553-6666
Other practice location 1
5674 Memorial Dr
Stone Mountain, GA 30083-3254
Phone (770) 322-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN324712 | GA | MD | Pediatrics Physician |
| 39017 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Atlanta Pediatrics PC | Pediatrics | Current | Accepting new patients |
| Grace Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Locations
5674 Memorial Dr
Stone Mountain, GA 30083
Phone (770) 322-6161
Interoperability endpoints
- sydney.infante.1@31800.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Stone Mountain, GA
- NPI 1932611068
-
- Pediatrics Physician
- Smyrna, TN
- NPI 1467781690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1346014065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OTIS SMITH DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438940",
"telephone_number": "931-553-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OTIS SMITH DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438940",
"telephone_number": "931-553-6666"
}
],
"practiceLocations": [
{
"address_1": "5674 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "300833254",
"country_code": "US",
"telephone_number": "770-322-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INFANTE",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "RN324712",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "39017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.