Pediatric Associates of West Tennessee PLLC
NPI 1679929285 · Rural Health Clinic/Center · Dyersburg, TN
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Associates of West Tennessee PLLC is a Rural Health Clinic/Center organization in Dyersburg, TN (NPI 1679929285).
Provider details
- NPI number
- 1679929285
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Ellerbrook, Owner(731) 285-4111
- License
- 0000014756 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
10 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
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Pediatric Associates of West Tennessee PLLC's NPI number?
- Pediatric Associates of West Tennessee PLLC's National Provider Identifier (NPI) is 1679929285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Associates of West Tennessee PLLC?
- Pediatric Associates of West Tennessee PLLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Associates of West Tennessee PLLC located?
- Pediatric Associates of West Tennessee PLLC's practice location on file with NPPES is 1501 Brayton Ave, Dyersburg, TN 38024-3158.
- What is Pediatric Associates of West Tennessee PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Associates of West Tennessee PLLC is (731) 285-4111.
- Does Pediatric Associates of West Tennessee PLLC accept Medicare?
- Pediatric Associates of West Tennessee PLLC 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 Pediatric Associates of West Tennessee PLLC?
- The authorized official listed on Pediatric Associates of West Tennessee PLLC's NPPES record is Jamie Ellerbrook, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Associates of West Tennessee PLLC's NPI active?
- Yes — Pediatric Associates of West Tennessee PLLC's NPI (1679929285) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.