Dayspring Pediatrics PLC
Organization Active NPI Rural Health Clinic/Center · Dayton, TN
NPI 1922696012 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1922696012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- DAYSPRING PEDIATRICS PLC
- Practice address
- 7693 Rhea County Hwy Ste 1
Dayton, TN 37321-6083 - Phone
- (931) 707-8700
- Fax
- (931) 456-0802
- NPI assigned
- Jan 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephanie Lynne Mueller, MD
- Title
- Medical Director
- Phone
- (423) 594-8700
Owners & managing parties with NPI records 1
Practitioners 7
-
Ian Luke Andrews, CPNP
-
Katie Lauren Cardwell, CPNP
-
Suzanne K Berman, M.D.
-
Faith Blackmon, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2211026 | Dayspring Pediatrics PLC | Certificate of waiver | Jan 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Rural health clinic certification: CCN 883856
- Legal name
- DAYSPRING PEDIATRICS PLC
- Doing business as
- FIREFLY PEDIATRICS
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 20, 2021
- Last certification
- Dec 20, 2021
- Ownership / control type
- 1C
- Organization structure
- LLC · Proprietary
- Enrollment address
- 7693 Rhea County Hwy
Ste 1
Dayton, TN 37321-6083
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie L Mueller |
5% Or Greater Direct Ownership Interest |
Jan 1, 2025 | 100% |
| W-2 Managing Employee |
Jan 1, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210430002375 | TN | Part a Provider - Rural Health Clinic | 6608285721 | Practice locations: Dayton, TN |
National Provider Directory
Locations
3234 Miller Ave
Crossville, TN 38555
Phone (931) 707-8700
7693 Rhea County Hwy
Ste 1
Dayton, TN 37321
Phone (423) 594-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
7693 Rhea County Hwy Ste 1
Dayton, TN 37321-6083
Mailing address
7693 Rhea County Hwy Ste 1
Dayton, TN 37321-6083
Phone (423) 594-8700
Other names
- Dayspring Pediatrics
- Firefly Pediatrics
Other providers in Dayton, TN
- Alan L Crews
- Crossroads Urgent Care PLLC
- Dan Fields III, DDS PLLC
- Ashley N Davis
- Barbara Lynn Davis
- Dayton Drug and Wellness LLC
- Dayton Drug and Wellness LLC
- Dayton Internal Medicine, PLLC
- Dayton KDC PLLC
- Dayton Medical Investors, LLC
All providers in Dayton, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.