Clinic/Center, Rural Health
PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679929285 · enumerated 2016-05-12 · record updated 2025-05-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JAMIE ELLERBROOK, owner · (731) 285-4111
Addresses and phones
- Practice location 1501 BRAYTON AVE, DYERSBURG, TN, 38024-3158 (731) 285-4111 Google Maps Apple Maps OpenStreetMap
- Mailing address 1501 BRAYTON AVE, DYERSBURG, TN, 38024-3158 (731) 285-4111 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 0000014756 TN
- Clinic/Center, Rural Health 261QR1300X · Primary
In this directory
Locations and evidence
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Practice location
DYERSBURG, TN, 380243158
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.