East Tennessee Children's Primary Care Center, Inc.
NPI 1366648040ActiveOrganization· Pediatrics· La Follette, TN
Pediatrics in La Follette, 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.
Overview
| NPI | 1366648040 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Tennessee Children's Primary Care Center, Inc. |
| NPI issued | Jun 21, 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, Pediatrics | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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