THE PEDZ CLINIC NPI 1538675798

NPI Information

  • NPI: 1538675798
  • Provider Name: THE PEDZ CLINIC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 610 3RD ST SW
    MAGEE, MS
    ZIP 39111
  • Phone: (601) 439-7221

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NPI Details

THE PEDZ CLINIC is a pediatrics in Magee, 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. THE PEDZ CLINIC NPI is 1538675798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

610 3RD ST SW
MAGEE, MS
ZIP 39111-994
Phone: (601) 439-7221
Fax: (601) 439-7193

The provider's authorized official is Kelli Fewell .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (601) 439-7221.

The enumeration date for this NPI number is 12/22/2017 and was last updated on 8/7/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsR879688MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104038362MEDICAIDMISSISSIPPI
21154684363MEDICAIDMISSISSIPPI

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: 11/21/2025

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