Providence Pediatrics, LLC
Providence Pediatrics, LLC is a healthcare organization registered as Nurse Practitioner in Gray, TN, holding Type 2 (organization) NPI 1821497942 since 2014. The authorized official on file is Susan Pennypacker, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821497942 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Providence Pediatrics, LLC |
| Practice address | 140 OLD GRAY STATION ROAD, SUITE 200, Gray, TN, 37615 |
| Phone | 4234772042 |
| Fax | 4234774571 |
| Enumeration date | 2014-08-14 |
| Last updated in NPPES | 2014-08-14 |
Authorized official
| Name | Susan Pennypacker |
|---|---|
| Title | Owner |
| Phone | 4234772042 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | 6966 | TN |
Copy-ready billing details
Provider: Providence Pediatrics, LLC NPI: 1821497942 Taxonomy: 363L00000X (Nurse Practitioner) Address: 140 OLD GRAY STATION ROAD, SUITE 200, Gray, TN, 37615
Verify this record
Cross-check NPI 1821497942 against the authoritative CMS record: view Providence Pediatrics, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Providence Pediatrics, LLC?
Who is the authorized official for Providence Pediatrics, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-08-14.