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

Waverly Pediatric and Adult Care

Organization Pediatric Adolescent Medicine Physician · NPI 1962796888

Waverly Pediatric and Adult Care provides Pediatric Adolescent Medicine Physician services in Waverly, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1034 W Main St
Waverly, TN 37185-1447 Not confirmed with CMS for 15 years — call before visiting
Phone: (931) 296-7000
Fax: (931) 296-7231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MD8719 (TN)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence APN0000015777 (TN)

Record details

NPI number1962796888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Skelton — Owner · (931) 296-7000
NPI enumeratedJune 8, 2011
Last updated in NPPESJune 8, 2011
Mailing address1034 W Main St, Waverly, TN 37185-1447