Kathy Cartwright Philyaw, MD
Individual provider Active NPI Pediatrics Physician · South Pittsburg, TN
NPI 1366547879 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1366547879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 30360 (TN)
- Practice address
- 325 South Cedar Avenue
Suite 1
South Pittsburg, TN 37380-1305 - Phone
- (423) 228-4159
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Marion County PLLC | Pediatrics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 30360 | TN | Yes |
Addresses
Primary practice location
325 South Cedar Avenue
Suite 1
South Pittsburg, TN 37380-1305
Mailing address
325 South Cedar Avenue
Suite 1
South Pittsburg, TN 37380-1305
Phone (423) 228-4159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4076374 | Other | TN | BCBS PROVIDER NUMBER |
| 1504526 | Medicaid | TN | |
| TN0102 | Other | TN | AMERICHOICE PROVIDER NUMBER |
| TN0102 | Other | TN | UNITED HEALTHCARE OF RIVERVALLEY PROVIDER NUMBER |
Other providers in South Pittsburg, TN
- LP South Pittsburg LLC
- Charles Taylor Millirons III
- One to One Health PLLC
- Cari Beth Page
- Pediatric Specialists of Marion County PLLC
- Shelby Philyaw
- PHL Inc
- Presley Darnell Powers
- Renaissance Health and Surgical Associates, P.C.
- Catherine Brooke Scissom
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 Jul 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.