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

Tullahoma Pediatrics PLLC

Organization Pediatrics Physician · NPI 1770562142

Tullahoma Pediatrics PLLC is a Pediatrics Physician in Tullahoma, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1330 Cedar Ln Bldg B Ste 900
Tullahoma, TN 37388-2283
Phone: (931) 455-2674
Fax: (931) 455-7594
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1770562142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caroline Tuck — Administrator · (931) 455-2674
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing addressPo Box 1327, Tullahoma, TN 37388-1327

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