MEDICARE: AFTER HOURS PEDIATRICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician
2	261QU0200X	Urgent Care Clinic/Center
3	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922776871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTER HOURS PEDIATRICS, INC

Provider Business Mailing Address
First Line	:	265 BROOKVIEW CENTRE WAY STE 400
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4052
Country	:	US
Telephone Number	:	865-985-7025
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 E LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2411
Country	:	US
Telephone Number	:	727-789-8887
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DONALD ADKINS
Credential	:
Telephone Number	:	865-293-5328

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	09/03/2021

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