NARAYANAN PEDIATRIC CLINIC
NPI 1043244163
Clinic/Center in Southaven, MS

Active since July 11, 2006CLIA 25D0969542 · Certificate of Compliance
3964 GOODMAN, STE 133, SOUTHAVEN, MS 38672(662) 895-9498(662) 890-4547 Get Directions Write a Review

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

About Narayanan Pediatric Clinic NPPES

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

NARAYANAN PEDIATRIC CLINIC (NPI 1043244163) is a healthcare organization registered as a clinic/center in Southaven, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 4, 2027 and lists Cathy A Dodge, Lpn Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1043244163
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNARAYANAN PEDIATRIC CLINIC
Location Address3964 GOODMAN, STE 133Southaven, MS 38672
Mailing AddressPo Box 170 Dept 150Southaven, MS 38671 · (662) 895-9498 · Fax (662) 890-4547
Fax(662) 890-4547
Organization SubpartNo
Authorized OfficialCathy A DodgeLpn Office Supervisor · (662) 895-9498
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043244163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3964 GOODMAN, Southaven, MS 38672

Accepted 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 25D0969542

Narayanan Pediatric Clinic · Southaven, MS
Active · expires Sep 4, 2027
CLIA Number25D0969542
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorManoj Narayanan
Laboratory Phone(662) 895-9498
Laboratory LocationNarayanan Pediatric Clinic3964 Goodman Road, Suite 133, Southaven, MS 38672
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3964 GOODMAN, STE 133
SOUTHAVEN, MS 38672

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 Narayanan Pediatric Clinic's NPI number?

The NPI number for Narayanan Pediatric Clinic is 1043244163. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Narayanan Pediatric Clinic located?

Narayanan Pediatric Clinic is located at 3964 Goodman Ste 133, Southaven, MS 38672. The listed phone number is (662) 895-9498.

What is Narayanan Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Narayanan Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0969542) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Narayanan Pediatric Clinic accept?

Health plans from Molina Healthcare list Narayanan Pediatric Clinic 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 Narayanan Pediatric Clinic 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.