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

Prime Pediatrics LLP

Organization Primary Care Clinic/Center · NPI 1881364941

Prime Pediatrics LLP is a Primary Care Clinic/Center in Waverly, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 S Clydeton Rd
Waverly, TN 37185-2140
Phone: (615) 476-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1881364941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Black — Physician Assistant · (615) 476-7812
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address765 Nancy Shawl Rd, Dickson, TN 37055-5010

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