CHILDREN'S INTERNATIONAL, LLC
NPI 1003610171
Clinic/Center - Rural Health in Wiggins, MS

Active since April 01, 2025CLIA 25D2322207 · Waiver
930 HALL ST, WIGGINS, MS 39577(985) 646-1580 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's International, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S INTERNATIONAL, LLC (NPI 1003610171), doing business as Children's International Medical Group, is a healthcare organization registered as a rural health in Wiggins, Mississippi and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Anjel Ellis, Logistic Officer, as its authorized official.

NPPES Registry Identity

NPI1003610171
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHILDREN'S INTERNATIONAL, LLC
Location Address930 HALL STWiggins, MS 39577-2113
Mailing Address59101 Amber StSlidell, LA 70461-3708
Organization SubpartNo
Authorized OfficialAnjel EllisLogistic Officer · (985) 646-1580
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
NPI 1003610171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
930 HALL ST, Wiggins, MS 39577

Other Names 1

Doing Business AsChildren's International Medical Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2322207

Children's International Medical Group · Wiggins, MS
Active · expires Apr 15, 2027
CLIA Number25D2322207
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorDr. Eduardo J. Hernandez
Laboratory Phone(601) 798-1238
Laboratory LocationChildren's International Medical Group930 Hall Street, Suite A, Wiggins, MS 39577
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Children's International, LLC's NPI number?

The NPI number for Children's International, LLC is 1003610171. It was assigned to this organization in the NPPES registry on April 1, 2025. The provider is doing business as Children's International Medical Group.

Where is Children's International, LLC located?

Children's International, LLC is located at 930 Hall St, Wiggins, MS 39577. The listed phone number is (985) 646-1580.

What is Children's International, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Children's International, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2322207) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Children's International, LLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.