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JORDAN'S PLACE PEDIATRICS, PA
NPI 1063277903
Clinic/Center - Rural Health in Sulphur Springs, TX

Active since February 20, 2024CLIA 45D0975262 · Waiver
1317 N HILLCREST DR, SULPHUR SPRINGS, TX 75482(903) 438-1110(903) 438-1107 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan's Place Pediatrics, Pa NPPES

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

JORDAN'S PLACE PEDIATRICS, PA (NPI 1063277903) is a healthcare organization registered as a rural health in Sulphur Springs, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Sherri Stone Barclay, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063277903
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJORDAN'S PLACE PEDIATRICS, PA
Location Address1317 N HILLCREST DRSulphur Springs, TX 75482-2091
Mailing Address1317 N Hillcrest DrSulphur Springs, TX 75482-2091 · (903) 438-1110 · Fax (903) 438-1107
Phone(903) 438-1110
Fax(903) 438-1107
Organization SubpartNo
Authorized OfficialSherri Stone BarclayMedical Director · (903) 438-1110
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1063277903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1317 N HILLCREST DR, Sulphur Springs, TX 75482
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Waiver 45D0975262

Jordan's Place Pediatrics PA · Sulphur Springs, TX
Active · expires Mar 19, 2028
CLIA Number45D0975262
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorSherri S. Barclay
Laboratory Phone(903) 438-1110
Laboratory LocationJordan's Place Pediatrics PA1317 North Hillcrest Drive, Sulphur Springs, TX 75482
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

KATHEREN BACCUS CPNP
Nurse Practitioner (Pediatrics)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
GINA MARIE FOSTER APRN, FNP-C
Nurse Practitioner (Family)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
ADRIAN DENISE CHILDRESS PA-C
Physician Assistant
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
MRS. CHANDRA DEEL OUD PA-C
Physician Assistant
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
JORDAN'S PLACE PEDIATRICS, PA
Clinic/Center (Primary Care)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
ALYSON MORGAN CPNP-PC
Nurse Practitioner (Pediatrics)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
SHANNON KELLY KENNEDY FNP-C
Nurse Practitioner (Family)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
RACHEL L. COWLEY MD
Pediatrics
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110

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 Jordan's Place Pediatrics, PA's NPI number?

The NPI number for Jordan's Place Pediatrics, PA is 1063277903. It was assigned to this organization in the NPPES registry on February 20, 2024.

Where is Jordan's Place Pediatrics, PA located?

Jordan's Place Pediatrics, PA is located at 1317 N Hillcrest Dr, Sulphur Springs, TX 75482. The listed phone number is (903) 438-1110.

What is Jordan's Place Pediatrics, PA's specialty?

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

Does Jordan's Place Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0975262) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jordan's Place Pediatrics, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jordan's Place Pediatrics, PA 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 Jordan's Place Pediatrics, PA was last updated on February 20, 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.