Prime Pediatrics LLP

Prime Pediatrics LLP is a healthcare organization registered as Primary Care Clinic/Center in Waverly, TN, holding Type 2 (organization) NPI 1881364941 since 2021. The authorized official on file is Alexander Black, Physician Assistant.

✓ Active NPI ✓ Valid NPI checksum

NPI	1881364941
Entity type	Organization (Type 2)
Legal business name	Prime Pediatrics LLP
Practice address	300 S CLYDETON RD, Waverly, TN, 37185
Phone	6154767812
Enumeration date	2021-09-20
Last updated in NPPES	2021-09-28

Authorized official

Name	Alexander Black
Title	Physician Assistant
Phone	6154767812

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2300X	Primary Care Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Prime Pediatrics LLP
NPI: 1881364941
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 300 S CLYDETON RD, Waverly, TN, 37185

Providers at this address

NPI	Name	Type	Specialty	Location
1821048521	Nestor Ojeda	Individual	Pediatrics Physician	Waverly, TN
1922362722	Jeremy Bradley	Individual	Pediatrics Physician	Waverly, TN
1801230495	Premier Care Pediatrics	Organization	Pediatrics Physician	Waverly, TN
1831737824	Alexandria Cole	Individual	Family Nurse Practitioner	Waverly, TN
1730835356	Dickson Medical Associates, PC	Organization	Rural Health Clinic/Center	Waverly, TN

Verify this record

Cross-check NPI 1881364941 against the authoritative CMS record: view Prime Pediatrics LLP 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-28. Verify at npiregistry.cms.hhs.gov.

Where is Prime Pediatrics LLP located?

The practice location on file with NPPES is in Waverly, TN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-28.