Healthcare Provider Details

I. General information

NPI: 1922696012
Provider Name (Legal Business Name): DAYSPRING PEDIATRICS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7693 RHEA COUNTY HWY STE 1
DAYTON TN
37321-6083
US

IV. Provider business mailing address

7693 RHEA COUNTY HWY STE 1
DAYTON TN
37321-6083
US

V. Phone/Fax

Practice location:
  • Phone: 931-707-8700
  • Fax: 931-456-0802
Mailing address:
  • Phone: 423-594-8700
  • Fax: 423-594-0788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LYNNE MUELLER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 423-594-8700