OrganizationActive
Soddy Daisy Pediatrics
NPI 1124253257 · Pediatrics Physician · Soddy Daisy, TN
Soddy Daisy Pediatrics is a Pediatrics Physician organization in Soddy Daisy, TN (NPI 1124253257).
Provider details
- NPI number
- 1124253257
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shahla Kaukab, Owner(423) 451-0622
- License
- 37633 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8804 Dayton Pike Ste F
Soddy Daisy, TN 37379-4306
Phone: (423) 451-0622
Fax: (423) 451-0624
Street-level locationGet directions
Mailing address
8804 Dayton Pike Ste F
Soddy Daisy, TN 37379-4306
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-27
Frequently asked questions
- What is Soddy Daisy Pediatrics's NPI number?
- Soddy Daisy Pediatrics's National Provider Identifier (NPI) is 1124253257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soddy Daisy Pediatrics?
- Soddy Daisy Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Soddy Daisy Pediatrics located?
- Soddy Daisy Pediatrics's practice location on file with NPPES is 8804 Dayton Pike Ste F, Soddy Daisy, TN 37379-4306.
- What is Soddy Daisy Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Soddy Daisy Pediatrics is (423) 451-0622.
- Who is the authorized official for Soddy Daisy Pediatrics?
- The authorized official listed on Soddy Daisy Pediatrics's NPPES record is Shahla Kaukab, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soddy Daisy Pediatrics's NPI active?
- Yes — Soddy Daisy Pediatrics's NPI (1124253257) is active in the NPPES registry as of the last update on 2009-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.