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

Pediatric Associates of West Tennessee PLLC

Organization Rural Health Clinic/Center · NPI 1679929285

Pediatric Associates of West Tennessee PLLC is a Rural Health Clinic/Center in Dyersburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Brayton Ave
Dyersburg, TN 38024-3158
Phone: (731) 285-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (TN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0000014756 (TN)

Record details

NPI number1679929285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Ellerbrook — Owner · (731) 285-4111
NPI enumeratedMay 12, 2016
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address1501 Brayton Ave, Dyersburg, TN 38024-3158

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