About Our Practice

Our Story

Dr. Mary Bukovitz had a vision to care for the infants, children and adolescents in the Lakeway area and began Hamblen Pediatric Associates in 1970. Since that time, Hamblen Pediatric has grown and provides pediatric medical care to Hamblen County and the surrounding communities. In 1999, Hamblen Pediatric opened an office in Jefferson City and in 2014 Hometown Pediatric opened to care for the pediatric population in Sevierville and the surrounding community. All of our offices are designed with the patient/family in mind. Separate well and sick entrances, check in and reception areas are available for our patients. We welcome those that are expecting along with potential new patients to call and schedule a time to meet one of our providers. They will be happy to discuss the philosophy of Hamblen Pediatric/Hometown Pediatric and to give you a tour of our office.


In 2018, HPA became a member of Summit Medical Group. Summit Medical Group provides quality healthcare services at more than 60 practice locations with over 300 providers. 

Meet Our Providers

Larry M. Toffoletto


Dr. Toffoletto was born in Chicago, Illinois but grew up in Union City, Tennessee.  He obtained his undergraduate degree from Christian Brothers College and received his medical degree from the University of Tennessee Center for Health Sciences in Memphis, Tennessee in 1986. Dr. Toffoletto completed his internship and Pediatric residency at the Cleveland Clinic Foundation, Cleveland, Ohio.  He was an officer in the U. S. Navy for three years, two years as a Senior Medical Officer.

Dr. Toffoletto is Board Certified by the American Board of Pediatrics and is a Fellow of the American Academy of Pediatrics.   He joined HPA – Hamblen Pediatric in 1992.

Dr. Toffoletto is married to Mary Ann, and they have two children.  They are members of Saint Patrick’s Catholic Church in Morristown.

Laura A. Powell


Dr. Powell was born in Arizona and raised in New Jersey.  She obtained her undergraduate degree from Rutgers University and received her medical degree from the University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School in 1994. Dr. Powell completed her internship and Pediatric residency at the University of Tennessee, Memphis and at LeBonheur Children’s Hospital, St. Jude’s Children’s Research Hospital and The Regional Medical Center of Memphis.

Dr. Powell is Board Certified by the American Board of Pediatrics and is a Fellow of the American Academy of Pediatrics.   She joined HPA – Hamblen Pediatric in 1997.

Dr. Powell is married to Dan Barber who has one teenage daughter.  She is a member of First Presbyterian Church in Morristown.

Renee A. Salansky


Dr. Salansky was born and raised in California.  She obtained her undergraduate degree from Tennessee Technological University in 1989 and her Medical Degree from James H. Quillen College of Medicine, East Tennessee State University in Johnson City in 1994.  Dr. Salansky performed her internship and residency at the T. C. Thompson Children’s Hospital in Chattanooga and finished in 1998.

Dr. Salansky is Board Certified by the American Board of Pediatrics and is a Fellow of the American Academy of Pediatrics.   She joined HPA – Hamblen Pediatric in 1998.

Dr. Salansky is married to Greg and they have two children.  They are members of Manley Baptist Church.

Casey N. Moss


Dr. Moss was born and raised in the Morristown area. He received his undergraduate degree from the University of Tennessee and graduated from James Quillen College of Medicine, East Tennessee State University in Johnson City, TN, in 2004. Dr. Moss’s intership and residency was completed at East Tennessee State University in June 2007. 

Dr. Moss is Board Certified by the American Academy of Pediatrics. Casey N. Moss, MD, FAAP joined the staff of Physicians at HPA – Hamblen Pediatric on October 1, 2008.

Dr. Moss is married to Kara Moss and they have two daughters, Victoria and Elizabeth. They attend Heritage Fellowship church in Jefferson City, TN.

Lauren R. Cordle


Lauren was born and raised in New Jersey and moved to the Morristown area with her parents when she was an undergraduate student. After an absence of many years she returned to Morristown 5 years ago .Lauren has a daughter, Meghan who is the light of her life. Lauren joined HPA – Hamblen Pediatric in September 2013. Prior to earning her PA degree and certification from South College, Lauren worked for a number of years as an Audiologist. She has a Doctorate Degree in Audiology. 

Lauren and her daughter are members of All Saint’s Episcopal Church in Morristown. In her spare time, Lauren enjoys reading, movies and making crafts.

Brittany Seal


Brittany was born in Okinawa, Japan due to her military roots, but was raised in Morristown, TN. After graduation from Morristown West High School, she received her BSN, RN degree from the University of Tennessee. She then went on to receive her Master of Science in Nursing through King University’s Pediatric Nurse Practitioner program. She is board certified in pediatrics through PNCB. Brittany joined Hamblen Pediatrics in October 2018. Her main office will be Morristown, but she will be working at all office locations. Brittany is a member of Midtown Missionary Baptist Church in Russellville, TN. She is married to Craig and they have a yorkie poo named Neyland. She enjoys sports, shopping, good food and spending time with friends and family.

Sarah Kamp


Sarah was born in St Louis Missouri and lived in California and Texas while growing up.  She worked as a Medical Assistant in a Family Practice while living in Texas and returned to St Louis to complete her Associates of Nursing at Barnes Jewish College of Nursing.  She obtained her Bachelors of Nursing at Maryville University as well as receiving her Masters of Nursing as a Pediatric Nurse Practitioner through Maryville University in 2017.  Sarah became a Certified Lactation Counselor in 2019 and is passionate about helping families achieve their breastfeeding goals. 

Sarah and her family moved to the Kodak area in July 2021.  She enjoys spending time with her family and is involved as a troop leader with her daughters Girl Scout troop.  In her spare time, Sarah enjoys listening to live music and attending sporting events. 

Ryan Davis


Ryan was born and raised in Morristown. After graduating from Morristown East High School, he received his Bachelor of Science in Nursing (BSN) degree from Carson-Newman University. He then went on to receive his Master of Science in Nursing (MSN) degree from the University of Tennessee’s Pediatric Nurse Practitioner program in 2016. He is board certified in pediatrics through PNCB. He is pursuing his Doctor of Nursing Practice (DNP) degree from Johns Hopkins University. He currently lives in Morristown with his wife, Samantha, and their son. The family is expecting the birth of their second child in February 2022. In his free time, he enjoys spending time with his family and friends, fishing, and watching Volunteer football.

Our Mission Statement

At Hamblen Pediatric Associates, our Physicians, Pediatric Nurse Practitioners’ and Physician Assistants’ and entire staff are committed to providing the highest quality healthcare for your child. 

HPA has 3 locations to care for you. We have extended our hours of operation in the Morristown and Sevierville office to provide better access of care to our patients. HPA is open on Saturdays in both Morristown and Sevierville.

HPA has been recognized as a Patient Centered Medical Home. Making ourselves accessible later in the day, with continuity of the same person seeing your child for his/her medical care is part of the medical home model. HPA wants to help manage and facilitate all aspects of your pediatric care. HPA wants to be your partner in the medical care of your child.

If you take your child to be seen elsewhere please be sure to ask them to send us a copy of the office note so that we may provide any recommended care. Also, it is extremely important that your child’s medical record is kept up to date with any medications, herbs or oils that your child takes.

Our CLIA (Clinical Laboratory Improvement Amendments) licensed lab provides us moderate complexity testing abilities so that we may do in-house and kit testing on-site.  This gives us the ability to tell you immediately if your child has an illness such as flu, mono, cholesterol or strep.  Our labs at HPA are certified by COLA. COLA comes in and surveys the labs at each location to be sure they are maintaining high standards for the delivery of patient care.

From time to time, patient surveys are sent randomly to our patients/families. It is extremely important that you give us honest feedback in order for us to continually improve and help meet the needs of the community.

Your feedback is extremely important in helping HPA continue to grow and continuously improve. Please do not hesitate to contact HPA or the Practice Manager with any compliments, concerns or suggestions.

Our Code of Commitment

HPA (Hamblen Pediatric Associates and Hometown Pediatric)


  • We are all patients ourselves. We treat our patients as we would want to be treated – with dignity and care.

  • Our patients don’t interrupt us; they are the reason we exist in the first place.

  • Our patients are not just “add-ons’, they are the most important people in our day.

  • Our patients are not an interruption when they call or visit; they are doing us a favor.

  • Our patients are not medical record numbers; they are human beings who deserve respect, courtesy and professionalism.

  • Our patients are not dependent on us; we are dependent on them.

  • Our patients are not people we “arrive” and “check-in” at the practice, we warmly greet them.

  • Our patients have a choice; we recognize and appreciate that they chose us.

  • Our patients aren’t just more work to do; they honor us by allowing us to provide care to them

The NCQA PCMH Recognition program is the most widely adopted PCMH evaluation program in the country. More than 13,000 practices (with more than 67,000 clinicians) are Recognized by NCQA.

For practices to receive this Recognition, they must meet standards in six areas:

  • Team Based Care and Practice Organization: Practices are evaluated on leadership structure, care team responsibilities, how they engage with patients, families and caregivers.
  • Care Management and Support: Practice clinicians use care management protocols to help them identify patients who need closely managed care.
  • Know and Manage Patients: Practices must meet standards for data collection, medication reconciliation and evidence-based clinical decision support.
  • Care Coordination and Care Transitions: Practices ensure that primary and specialty care clinicians share information and manage patient referrals.
  • Patient-Centered Access and Continuity: Practices provide patients with convenient access to clinical advice and continuity of care.
  • Performance Measurement and Quality Improvement: Practices have processes for measuring their performance and for quality improvement activities.