| NPI | 1134435647 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-08-20 |
| Last Updated | 2026-04-09 |
| Authorized Official | Derrick Hamilton Owner Phone: 9018138861 |
| Mailing Address | Po Box 538 Somerville, TN 38068-0538 United States Phone: (901) 813-8861 | Fax: (901) 813-8862 📍 View Map |
| Primary Practice Address | 214 Lakeview Rd, Suite 2 Somerville, TN 38068-9737 United States Phone: (901) 516-4082 | Fax: (901) 516-4092 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | TN | 38455 |
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About NPI 1134435647
Elite Pediatric And Adolescent Medicine is an organization registered in the CMS NPPES NPI Registry with NPI number 1134435647. The primary specialty listed is Pediatrics. The organization is located in Somerville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-08-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134435647?
NPI 1134435647 belongs to Elite Pediatric And Adolescent Medicine, a Pediatrics in Somerville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134435647 active?
The current status of NPI 1134435647 in the NPPES registry is Active. The record was last updated on 2026-04-09.
What specialty is NPI 1134435647?
NPI 1134435647 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134435647?
You can verify NPI 1134435647 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134435647?
The primary practice address on file for NPI 1134435647 is 214 Lakeview Rd, Somerville, TN 38068-9737. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134435647 issued?
NPI 1134435647 was first issued (enumerated) on 2010-08-20. The NPPES record was last updated on 2026-04-09.
Practice Location Map
Elite Pediatric And Adolescent Medicine is located at 214 Lakeview Rd, Somerville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Elite Pediatric And Adolescent Medicine. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134435647. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 38455 | TN |