East Tennessee Children'S Hospital Primary Care Center, Inc.
NPI 1184829368 · Pediatrics Physician · Alcoa, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee Children'S Hospital Primary Care Center, Inc. is a Pediatrics Physician organization in Alcoa, TN (NPI 1184829368).
Provider details
- NPI number
- 1184829368
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- East Tennessee Children'S Hospital Primary Care Center Inc.
- Organization subpart
- Yes
- Authorized official
- Andrew Rosendahl, Chief Financial Officer(865) 541-8154
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Maryville Pediatrics
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is East Tennessee Children'S Hospital Primary Care Center, Inc.'s NPI number?
- East Tennessee Children'S Hospital Primary Care Center, Inc.'s National Provider Identifier (NPI) is 1184829368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Children'S Hospital Primary Care Center, Inc.?
- East Tennessee Children'S Hospital Primary Care Center, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is East Tennessee Children'S Hospital Primary Care Center, Inc. located?
- East Tennessee Children'S Hospital Primary Care Center, Inc.'s practice location on file with NPPES is 352 Fountain View Circle, Alcoa, TN 37701-1945.
- What is East Tennessee Children'S Hospital Primary Care Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Children'S Hospital Primary Care Center, Inc. is (865) 982-0032.
- Does East Tennessee Children'S Hospital Primary Care Center, Inc. accept Medicare?
- East Tennessee Children'S Hospital Primary Care Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Tennessee Children'S Hospital Primary Care Center, Inc.?
- The authorized official listed on East Tennessee Children'S Hospital Primary Care Center, Inc.'s NPPES record is Andrew Rosendahl, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Children'S Hospital Primary Care Center, Inc.'s NPI active?
- Yes — East Tennessee Children'S Hospital Primary Care Center, Inc.'s NPI (1184829368) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.