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

Waverly Pediatric and Adult Care

Organization Pediatric Adolescent Medicine Physician · NPI 1962796888

Waverly Pediatric and Adult Care is a Pediatric Adolescent Medicine Physician in Waverly, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1034 W Main St
Waverly, TN 37185-1447
Phone: (931) 296-7000
Fax: (931) 296-7231
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MD8719 (TN)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence APN0000015777 (TN)

Record details

NPI number1962796888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Skelton — Owner · (931) 296-7000
NPI enumeratedJune 8, 2011
Last updated in NPPESJune 8, 2011
Mailing address1034 W Main St, Waverly, TN 37185-1447