Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Tennessee Children's Primary Care Center, Inc

Organization Pediatrics Physician · NPI 1235350901

East Tennessee Children's Primary Care Center, Inc provides Pediatrics Physician services in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2018 Clinch Ave
Knoxville, TN 37916-2301
Phone: (865) 541-8000
Fax: (865) 633-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X (TN)
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1235350901
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Tennessee Children's Primary Care Center, Inc
Authorized official Andrew Rosendahl — Cfo · (865) 541-8154
Other names Dolly Parton Children'S Hospital Primary Care Center Inc
NPI enumeratedMay 1, 2007
Last updated in NPPESSeptember 5, 2026
Certification dateSeptember 5, 2026
Mailing addressPo Box 50068, Knoxville, TN 37950-0068

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