VIP MidSouth Children's Clinic Pleasant View TN

Contact Information

6517 Highway 41A Suite 100
Pleasant View, TN 37146
P – 615.746.8333
F – 615.247.8442

Office Hours

Monday – Friday 8 AM to 4:30 PM

Sports Physical Packet

Below you will find the sports physical packet required by TSSAA in order for your child to participate in school sports.  The sports physical packets are labeled by county. Please fill out and sign the History Form and fill out the top portion of the Physical Examination form. Bring these forms with you to your office visit.


Cheatham County Sports Physical Packet


Macon County Sports Physical Packet


Robertson County Sports Physical Packet


Sumner County Sports Physical Packet



While we participate in most insurance plans, there are a few we do not. Please call your insurance company to confirm we are participating with your plan. As a courtesy, we will automatically file claims to all policies we participate with. If we do not participate in your plan and you still want to bring your child(ren) here to the office, then payment will be expected at time of service and you will be given the proper documentation so you may file a claim on your behalf. Please be aware we do NOT accept Beechstreet, First Health, Multiplan, Mega Life, Midwest Life, NPPN or Three Rivers; however, when you call they will tell you we are in network.


Please be sure to bring your insurance card with you to all appointments!


Fees and Payment

Co-pays, co-insurance, and deductibles are expected at time of service. This is a requirement of your insurance.


Billing Office Hours

Our billing office is open Monday thru Friday from 8:00 am to 4:30 pm. Please do not hesitate to call with any questions. Most questions can be answered by our billing office without having to call your insurance.


Other Information

Please be aware of your insurance benefits prior to your visit. Our office offers services, procedures, and vaccines that may/may not be covered by your plan. There is no way for us to know benefits for each patient due to the various plans each carrier offers.


Your community pediatricians in Gallatin, Hendersonville, Lafayette, Pleasant View, Portland, Springfield, Station Camp, and White House.


Our Providers

Jennifer Ashworth MD

Jennifer Ashworth


Hunter Butler MD

Hunter Butler


Miranda Butler MD

Miranda Butler


Erika Crawford MD

Erika Crawford


Lorissa Dias MD

Lorissa Dias


Annie Glover MD

Annie Glover


Anjeli Wilson MD

Anjeli Wilson


We offer Saturday and Sunday hours for acute sick visits at our Gallatin, Hendersonville & Springfield locations.

Select Your Location:

*This form is not intended for submission of personal medical information.