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CHILDREN'S MEDICAL GROUP P.A. NPI 1588700603


NPI Information

NPI: 1588700603
Provider Name: CHILDREN'S MEDICAL GROUP, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 25D0317950

Address:
1867 CRANE RIDGE DR STE 101B
JACKSON, MS
ZIP 39216
Phone: (601) 362-8776
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CHILDREN'S MEDICAL GROUP, P.A. is a pediatrics in Jackson, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDREN'S MEDICAL GROUP, P.A. NPI is 1588700603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1867 CRANE RIDGE DR STE 101B
JACKSON, MS
ZIP 39216-956
Phone: (601) 362-8776
Fax: (601) 354-8786

The provider's authorized official is William H. Smith .
The authorized official title is President and has the following contact phone number (601) 856-5105.

The CLIA number assigned to this NPI record is 25D0317950 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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