Scenic City Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SCENIC CITY PEDIATRICS PLLC

Practice address

281 N Lyerly St Ste 100
Chattanooga, TN 37404-2747

Phone

(423) 698-2222

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Andrew Weber

Title

Manager

Phone

(407) 873-0271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meagan Aiken-Vaphiadis, M.D.

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1427495233
  Medicare reassignment NPD
• Matthew Campbell

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1972824720
  Medicare reassignment NPD
• Richard Carroll, MD

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1306821491
  Medicare reassignment NPD
• Tonia R Cox, M.D.

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1912927096
  Medicare reassignment NPD
• Alford Leon Dyer III, M.D.

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1669899563
  Medicare reassignment NPD
• Alicia Daniels Dyer, MD

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1467862649
  Medicare reassignment NPD
• Roy Anthony Friddell, MD

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1255318820
  Medicare reassignment NPD
• Bryn Taylor Meredith

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1285976019
  Medicare reassignment NPD
• Austin Frank Clark, MD

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1487359527
  NPD
• Blaine Austin Eggemeyer, DO

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1376230607
  NPD
• Sarah Mian Trimiew, M.D., M.P.H

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1811330459
  NPD (past)

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1811719644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042747",
            "telephone_number": "423-698-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Jarnigan Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214878",
            "country_code": "US",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCENIC CITY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-873-0271"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scenic City Medical Massage
• Scenic City Neurotherapy and Ketamine Center LLC (Scenic City Neurotherapy Ketamine and TMS)
• Scenic City Nutrition, LLC
• Scenic City Orthodontics PC
• Scenic City Orthopaedics & Sports Medicine, PLLC
• Scenic City Plastic Surgery, LLC (Scenic City Plastic Surgery)
• Scenic City Podiatry, PLLC
• Scenic City Rheumatology PLLC (Physicians Rx of Chattanooga)
• Scenic City Rheumatology, PLLC
• Scenic City Wellness

• Pediatrics Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.