NPIMap

Organization Active NPI

Pediatric Associates of Davidson County, P.C.

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1982777140
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, P.C.
Practice address
2201 Murphy Ave
Suite 201
Nashville, TN 37203
Phone
(615) 329-3595
Fax
(615) 327-4934
NPI assigned
Nov 16, 2006
Organization subpart
Yes
Parent organization
PEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Mary E Keown, M.D.NPI 1437112216
Title
President
Phone
(615) 329-3595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2201 Murphy Ave
Suite 201
Nashville, TN 37203

Mailing address

2201 Murphy Ave
Suite 201
Nashville, TN 37203-1835
Phone (615) 329-3595

Other identifiers 1

IdentifierTypeStateIssuer
3704727MedicaidTN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0857774Pediatric Associates of Davidson County2201 Murphy Avenue, Suite 201, Nashville, TN 37203ComplianceMay 12, 2028

National Provider Directory

National Provider Directory
Part of
Pediatric Associates of Davidson County PC

Locations

2201 Murphy Ave
Ste 201
Nashville, TN 37203
Phone (615) 329-3595

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1982777140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031835",
            "telephone_number": "615-329-3595",
            "fax_number": "615-327-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-329-3595",
            "fax_number": "615-327-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, PC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "KEOWN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-329-3595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704727",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.