Athens Pediatrics PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20337 Issued in TN

Legal business name

ATHENS PEDIATRICS PLLC

Practice address

111 Epperson St
Athens, TN 37303-3478

Phone

(423) 745-5955

Fax

(423) 745-6423

NPI assigned

Sep 18, 2015

Last updated

Sep 18, 2015By 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

Cindy Ackaouy

Title

Office Manager

Phone

(423) 745-5955

Specialties & licenses 1

Addresses

Tax ID family

Athens Pediatrics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Athens Pediatrics PLLC

  • Pediatrics Physician
  • Athens, TN
  • NPI 1437397809
  NPD tax ID

Locations

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1659740702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EPPERSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033478",
            "telephone_number": "423-745-5955",
            "fax_number": "423-745-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EPPERSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033478",
            "telephone_number": "423-745-5955",
            "fax_number": "423-745-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "ACKAOUY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-745-5955"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens City Board of Education
• Athens Clinic of Chiropractic Inc.
• Athens Family Dental
• Athens Pediatrics P.C.
• Athens Pediatrics PLLC
• Athens Physicians Practice LLC (William R. Bowers MD)
• Athens Physicians Practice LLC (Medical Associates of Athens)
• Athens Physicians Practice LLC
• Athens Physicians Practice LLC (Starr Convenient Care)
• Athens Physicians Practice LLC (Athens Family Practice)

• Family Nurse Practitioner in Athens, TN
• Providers in Athens, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.