THE CHILDREN'S MEDICAL GROUP NPI 1629237656

NPI Information

  • NPI: 1629237656
  • Provider Name: THE CHILDREN'S MEDICAL GROUP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1421 E PEACE ST
    CANTON, MS
    ZIP 39046
  • Phone: (601) 859-5955

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NPI Details

THE CHILDREN'S MEDICAL GROUP is a pediatrics in Canton, 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 CHILDREN'S MEDICAL GROUP NPI is 1629237656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1421 E PEACE ST
CANTON, MS
ZIP 39046-938
Phone: (601) 859-5955

The provider's authorized official is Hosan Menanya Azomani .
The authorized official title is Manager and has the following contact phone number (662) 334-9915.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

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
1208000000XPediatrics18728MISSISSIPPIYes

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
1I23239MEDICARE UPINMISSISSIPPI
202933236MEDICAIDMISSISSIPPI
3370000431MEDICARE PINMISSISSIPPI

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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