PEDIATRICS PLUS MEDICAL CLINIC
NPI 1063266823
Family Medicine in Byram, MS

Active since April 16, 2024CLIA 25D2305720 · Waiver
7215 S SIWELL RD STE B, BYRAM, MS 39272(601) 201-4419 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2024, May 9, 2024, Apr 16, 2024 (3 updates tracked since 2024).

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

NPI1063266823
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEDIATRICS PLUS, PLLC
Location Address7215 S SIWELL RD STE BByram, MS 39272-9776
Mailing Address1501 Raymond Bolton RdRaymond, MS 39154-9591 · (601) 201-4419
Organization SubpartNo
Authorized OfficialStephanie Oberhousen BoydstonOwner · (601) 201-4419
Enumeration DateApril 16, 2024
Last NPPES UpdateMay 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1063266823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7215 S SIWELL RD STE B, Byram, MS 39272

Other Names 1

Other NamePediatrics Plus Medical Clinic

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

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, MS
Active · expires Jun 4, 2028
CLIA Number25D2305720
Laboratory TypePractitioner Other
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorStephanie O. Boydston
Laboratory Phone(601) 201-4419
Laboratory LocationPediatrics Plus, LLC7215 South Siwell Road Suite B, Byram, MS 39272
CLIA data matches this NPI record on: Address Name Phone
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 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.

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.