Willow Pediatric Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILLOW PEDIATRIC CLINIC, LLC

Practice address

1400 Willow Dr
Manchester, TN 37355-2438

Phone

(931) 273-5685

NPI assigned

Mar 20, 2025

Organization subpart

No

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

Authorized official

Name

Rebecca Swiger, DNPNPI 1982247367

Title

Provider

Phone

(931) 273-5682

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 1

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

• Rebecca Diane Swiger, DNP-FNP-C

  • Family Nurse Practitioner
  • Manchester, TN
  • NPI 1982247367
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1811798481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880066",
            "telephone_number": "931-273-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552438",
            "telephone_number": "931-273-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SWIGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "931-273-5682",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Corrin Webb
• Amy B White, APN
• Whole Family Clinic, PLLC
• Willow Medical Clinic, LLC
• Willow Medical, LLC
• Sarah Schwartz Wilson, M.D.
• Laurie Winton, LPC-MHSP
• Dustin Taylor Wiseman
• Callie Marie Wolfe, M.S. CCC-SLP
• Mitzi L. Wood-Von Mizener, PSYD

• Primary Care Clinic/Center in Manchester, TN
• Providers in Manchester, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.