Providence Pediatrics, LLC
NPI 1821497942 · Nurse Practitioner · Gray, TN
Providence Pediatrics, LLC is a Nurse Practitioner organization in Gray, TN (NPI 1821497942).
Provider details
- NPI number
- 1821497942
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Susan Pennypacker, Owner(423) 477-2042
- License
- 6966 (TN)
Specialties & taxonomies
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
11 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
- 2014-08-14
- Last updated
- 2014-08-14
Frequently asked questions
- What is Providence Pediatrics, LLC's NPI number?
- Providence Pediatrics, LLC's National Provider Identifier (NPI) is 1821497942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pediatrics, LLC?
- Providence Pediatrics, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Pediatrics, LLC located?
- Providence Pediatrics, LLC's practice location on file with NPPES is 140 Old Gray Station Road, Gray, TN 37615-3612.
- What is Providence Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Pediatrics, LLC is (423) 477-2042.
- Who is the authorized official for Providence Pediatrics, LLC?
- The authorized official listed on Providence Pediatrics, LLC's NPPES record is Susan Pennypacker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pediatrics, LLC's NPI active?
- Yes — Providence Pediatrics, LLC's NPI (1821497942) is active in the NPPES registry as of the last update on 2014-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.