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

Martin Pediatric and Adolescent Clinic, PC

Organization Pediatric Adolescent Medicine Physician · NPI 1649314501

Martin Pediatric and Adolescent Clinic, PC is a Pediatric Adolescent Medicine Physician 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
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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