Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Pediatric and Adolescent Medicine

Organization Pediatrics Physician · NPI 1134435647

Elite Pediatric and Adolescent Medicine is a Pediatrics Physician in Somerville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010

Practice location Address checks out

214 Lakeview Rd Ste 2
Somerville, TN 38068-9737
Phone: (901) 516-4082
Fax: (901) 516-4092
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 38455 (TN)

Record details

NPI number1134435647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Hamilton — Owner · (901) 813-8861
NPI enumeratedAugust 20, 2010
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing addressPo Box 538, Somerville, TN 38068-0538