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PEDIATRIC CARE CENTER, P.L.L.C.
NPI 1083719256
Pediatrics in Pascagoula, MS

Active since September 13, 2006CLIA 25D0966549 · Waiver
4105 HOSPITAL ST, SUITE 104, PASCAGOULA, MS 39581(228) 762-9595(228) 762-9494 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Care Center, P.l.l.c. NPPES

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

PEDIATRIC CARE CENTER, P.L.L.C. (NPI 1083719256) is a healthcare organization registered as a pediatrics in Pascagoula, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Nikki Hoffman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083719256
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CARE CENTER, P.L.L.C.
Location Address4105 HOSPITAL ST, SUITE 104Pascagoula, MS 39581-5312
Mailing AddressPo Box 726Pascagoula, MS 39568-0726 · (228) 762-9595 · Fax (228) 762-9494
Phone(228) 762-9595
Fax(228) 762-9494
Organization SubpartNo
Authorized OfficialNikki HoffmanOffice Manager · (228) 762-9595
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 20, 2023
✔ NPI 1083719256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4105 HOSPITAL ST, Pascagoula, MS 39581
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Other Identifiers 2

Medicaid009016223MS
Medicaid09016223MS

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 Waiver 25D0966549

Pediatric Care Center LLC · Pascagoula, MS
Active · expires Oct 19, 2027
CLIA Number25D0966549
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDr. Yolanda A. Gutierrez
Laboratory Phone(228) 762-9595
Laboratory LocationPediatric Care Center LLC4105 Hospital Rd Ste 104, Pascagoula, MS 39581
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

DR. MARY OYINDAMOLA OYELEYE DMD
Dentist (General Practice)
4105 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 762-1889
DR. THEODORE MICHAEL MILLETTE M. D.
Pediatrics
4105 HOSPITAL ST, STE 103
PASCAGOULA, MS 39581
Jackson County (228) 762-8712
RENAY DANIELLE ELY HINKLE FNP-C
Nurse Practitioner (Family)
4105 HOSPITAL ST, SUITE 103
PASCAGOULA, MS 39581
Jackson County (228) 762-8712
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4105 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (877) 230-7841
DR. GRAZYNA WIERZBICKA M. D.
Pediatrics
4105 HOSPITAL ST, STE 103
PASCAGOULA, MS 39581
Jackson County (228) 762-8712
DR. THOMAS LAMAR YEARWOOD M.D., PHD
Pain Medicine (Interventional Pain Medicine)
4105 HOSPITAL ST, SUITE 112A
PASCAGOULA, MS 39581
Jackson County (228) 938-0700
CHARISSE LASHAUNE JOHNSON FNP-C
Nurse Practitioner (Family)
4105 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 762-8946
CHIAZO NNAWUCHI-EKENNA M.D.
Pediatrics (Adolescent Medicine)
4105 HOSPITAL ST, SUITE 104
PASCAGOULA, MS 39581
Jackson County (228) 762-9595

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 Pediatric Care Center, P.L.L.C.'s NPI number?

The NPI number for Pediatric Care Center, P.L.L.C. is 1083719256. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Pediatric Care Center, P.L.L.C. located?

Pediatric Care Center, P.L.L.C. is located at 4105 Hospital St Suite 104, Pascagoula, MS 39581. The listed phone number is (228) 762-9595.

What is Pediatric Care Center, P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Care Center, P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0966549) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Care Center, P.L.L.C. 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 Pediatric Care Center, P.L.L.C. 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 Pediatric Care Center, P.L.L.C. was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.