TLC Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MC-2758 Issued in AR

Legal business name

TLC PEDIATRICS, PLLC

Practice address

955 Carolyn LN
Conway, AR 72034-5015

Phone

(501) 327-2444

Fax

(501) 327-2443

NPI assigned

Jul 28, 2010

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terence L Champlin, M.D.NPI 1285612671

Title

Owner

Phone

(501) 327-2444

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Terence L Champlin, M.D.

  • Pediatrics Physician
  • Conway, AR
  • NPI 1285612671
  NPD Authorized official
• Anna Larocca, APRN

  • Pediatrics Physician
  • Conway, AR
  • NPI 1396306213
  NPD
• Paige Fenner, APRN

  • Pediatric Nurse Practitioner
  • Little Rock, AR
  • NPI 1225556632
  NPD (past)
• Kelley Courtney Meena, M.D.

  • Pediatrics Physician
  • Conway, AR
  • NPI 1336465616
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1649584038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "CHAMPLIN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-327-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "MC-2758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5G341",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183907002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Que'Linda Ladawn Tillman-Wilson, PMHNP
• Noah Gaven Tindall
• Regenia Tindall, CASE MANAGER PARA PR
• Jodie Tipton, LAC
• Brittany Nicole Titsworth, PTA
• TMH Spirit Center LLC
• Lauren Toal
• Audrey Tobey, MD
• Solomon Tobi
• Charles L Todd, O.D.

• Pediatrics Physician in Conway, AR
• Providers in Conway, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.