NATCHEZ PEDIATRIC CLINIC PLLC
NPI 1033210315
Pediatrics - Adolescent Medicine in Natchez, MS

Q: What is Natchez Pediatric Clinic PLLC's NPI number?

The NPI number for Natchez Pediatric Clinic PLLC is 1033210315. It was assigned to this organization in the NPPES registry on September 26, 2006.

Q: What is Natchez Pediatric Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since September 26, 2006CLIA 25D0976114 · Certificate of Compliance

136 JEFFERSON DAVIS BLVD., SUITE A, NATCHEZ, MS 39120(601) 442-5439(601) 442-3755 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Natchez Pediatric Clinic Pllc NPPES

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

NATCHEZ PEDIATRIC CLINIC PLLC (NPI 1033210315) is a healthcare organization registered as an adolescent medicine in Natchez, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 2, 2027 and lists James M Mayo, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1033210315

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameNATCHEZ PEDIATRIC CLINIC PLLC

Location Address136 JEFFERSON DAVIS BLVD., SUITE ANatchez, MS 39120

Mailing AddressPo Box 17918Natchez, MS 39122-7918 · (601) 442-5439 · Fax (601) 442-3755

Phone(601) 442-5439

Fax(601) 442-3755

Organization SubpartNo

Authorized OfficialJames M MayoBusiness Manager · (601) 442-5439

Enumeration DateSeptember 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033210315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

136 JEFFERSON DAVIS BLVD., Natchez, MS 39120

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Other Identifiers 2

Medicaid09015226MS

Medicaid1445967LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Compliance 25D0976114

Natchez Pediatric Clinic · Natchez, MS

Active · expires May 2, 2027

CLIA Number25D0976114

Laboratory TypePhysician Office

Certificate Effective DateMay 3, 2025

Certificate Expiration DateMay 2, 2027

Laboratory DirectorDanita R. Weary

Laboratory Phone(601) 442-5439

Laboratory LocationNatchez Pediatric Clinic136 Jefferson Davis Blvd Suite A, Natchez, MS 39120

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Natchez Pediatric Clinic PLLC's NPI number?

The NPI number for Natchez Pediatric Clinic PLLC is 1033210315. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Natchez Pediatric Clinic PLLC located?

Natchez Pediatric Clinic PLLC is located at 136 Jefferson Davis Blvd. Suite A, Natchez, MS 39120. The listed phone number is (601) 442-5439.

What is Natchez Pediatric Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Natchez Pediatric Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0976114) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Natchez Pediatric Clinic PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Natchez Pediatric Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natchez Pediatric Clinic PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.