Tullahoma Pediatrics PLLC
NPI 1770562142ActiveOrganization· Pediatrics· Tullahoma, TN
Pediatrics in Tullahoma, Tennessee, registered in NPPES in January 2006. The authorized official on file is Caroline B. Tuck, Administrator. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1770562142 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2006 |
| Last updated in NPPES | Jun 14, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
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 A Provider - Rural Health Clinic (TN) |
|---|
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