East Tennessee Children's Primary Care Center, Inc.
NPI 1184829368ActiveOrganization· Pediatrics· Alcoa, TN
Pediatrics in Alcoa, Tennessee, registered in NPPES in June 2007, part of East Tennessee Children's Primary Care Center, Inc. The authorized official on file is Andrew Rosendahl, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184829368 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Tennessee Children's Primary Care Center, Inc. |
| NPI issued | Jun 18, 2007 |
| Last updated in NPPES | Sep 5, 2026 |
| Certified by provider | Sep 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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