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

Martin Pediatric and Adolescent Clinic, PC

Organization Pediatric Adolescent Medicine Physician · NPI 1649314501

Martin Pediatric and Adolescent Clinic, PC provides Pediatric Adolescent Medicine Physician services in Martin, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Mount Pelia Rd
Martin, TN 38237-3812 Not confirmed with CMS for 19 years — call before visiting
Phone: (731) 587-9542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MD 18562 (TN)

Record details

NPI number1649314501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Roberts — Office Manager · (731) 587-9542
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 11, 2007
Mailing address142 Mount Pelia Rd, Martin, TN 38237-3812

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