NPIMap

Organization Active NPI

Just 4 Kids Pediatrics

  • Pediatrics Physician
  • Pulaski, TN
National Provider Identifier
1619378601
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JUST 4 KIDS PEDIATRICS
Practice address
910 W College St
Pulaski, TN 38478-3630
Phone
(931) 363-0077
NPI assigned
Sep 9, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Max S Methvin III
Title
Owner
Phone
(931) 363-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

910 W College St
Pulaski, TN 38478-3630

Mailing address

PO Box 910
Pulaski, TN 38478-0910
Phone (931) 363-0077

National Provider Directory

National Provider Directory

Locations

326 N Locust Ave
#A
Lawrenceburg, TN 38464
Phone (931) 762-5437

910 W College St
Pulaski, TN 38478
Phone (931) 363-0077

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1619378601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780910",
            "telephone_number": "931-363-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783630",
            "telephone_number": "931-363-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "METHVIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-363-0077",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.