PEDIATRICS PLUS MEDICAL CLINIC
NPI 1063266823
Family Medicine in Byram, MS
About Pediatrics Plus Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRICS PLUS MEDICAL CLINIC (NPI 1063266823) is a healthcare organization registered as a family medicine in Byram, Mississippi and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Stephanie Oberhousen Boydston, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatrics Plus Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pediatrics Plus Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 25D2305720
Pediatrics Plus, LLC · Byram, MSFrequently 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 Pediatrics Plus, PLLC's NPI number?
The NPI number for Pediatrics Plus, PLLC is 1063266823. It was assigned to this organization in the NPPES registry on April 16, 2024. The provider is also known as Pediatrics Plus Medical Clinic.
Where is Pediatrics Plus, PLLC located?
Pediatrics Plus, PLLC is located at 7215 S Siwell Rd Ste B, Byram, MS 39272. The listed phone number is (601) 201-4419.
What is Pediatrics Plus, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pediatrics Plus, PLLC enrolled in Medicare?
Yes. Pediatrics Plus, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatrics Plus, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pediatrics Plus, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pediatrics Plus, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2305720) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatrics Plus, PLLC accept?
Health plans from Molina Healthcare list Pediatrics Plus, 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 Pediatrics Plus, PLLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pediatrics Plus Medical Clinic · NPI 1063266823
Family Medicine organization in Byram, Mississippi. Organization record, active in the CMS NPPES registry since April 16, 2024.
## Identity
- **NPI:** 1063266823 (Entity type: Organization)
- **Enumerated:** April 16, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Pediatrics Plus, Pllc
- **Organization subpart:** No
- **Authorized official:** Stephanie Boydston, OWNER
## Practice location
- **Address:** 7215 S SIWELL RD STE B, Byram, MS 39272-9776
- **Phone:** (601) 201-4419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063266823) · Data from the CMS NPPES public registry.