Organization Active NPI

Paris Pediatrics PC

  • Pediatrics Physician
  • Paris, TN
National Provider Identifier
1619940368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PARIS PEDIATRICS PC
Practice address
243 Jim Adams Drive
Paris, TN 38242
Phone
(731) 644-2747
Fax
(731) 644-3719
NPI assigned
Feb 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John W Selby Jr.
Title
Office Manager
Phone
(731) 644-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

243 Jim Adams Drive
Paris, TN 38242

Mailing address

243 Jim Adams Drive
Paris, TN 38242
Phone (731) 644-2747

Other identifiers 2

IdentifierTypeStateIssuer
0142398OtherTNBLUE CROSS BLUE SHIELD
3067653MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619940368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 JIM ADAMS DRIVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-644-2747",
            "fax_number": "731-644-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 JIM ADAMS DRIVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-644-2747",
            "fax_number": "731-644-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-644-2747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0142398",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067653",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.