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CHILDREN'S CLINIC OF JASPER
NPI 1093168049
Pediatrics in Jasper, TX

Active since July 14, 2016CLIA 45D0877934 · Certificate of Compliance
1008 DICKERSON DR, JASPER, TX 75951(936) 634-2214(936) 639-9660 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Clinic Of Jasper NPPES

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

CHILDREN'S CLINIC OF JASPER (NPI 1093168049) is a healthcare organization registered as a pediatrics in Jasper, Texas and active in the NPI registry since July 2016. The organization holds a CLIA Certificate of Compliance certificate valid through June 1, 2028 and lists Chere Crocker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093168049
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S CLINIC OF JASPER
Location Address1008 DICKERSON DRJasper, TX 75951-5111
Mailing AddressPo Box 150638Lufkin, TX 75915-0638 · (936) 634-2214 · Fax (936) 639-9660
Phone(936) 634-2214
Fax(936) 639-9660
Organization SubpartNo
Authorized OfficialChere CrockerOffice Manager · (936) 634-2214
Enumeration DateJuly 14, 2016
✔ NPI 1093168049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · H4321
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.
1008 DICKERSON DR, Jasper, TX 75951
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Other Identifiers 2

Medicaid191679301TX
Medicaid092130602MD

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

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 45D0877934

Childrens Clinic Of Lufkin PA, The · Lufkin, TX
Active · expires Jun 1, 2028
CLIA Number45D0877934
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJeffrey L. Glass
Laboratory Phone(936) 634-2214
Laboratory LocationChildrens Clinic Of Lufkin PA, The205 Gene Samford Ave, Lufkin, TX 75904
CLIA data matches this NPI record on: 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.

ALYSON VANYA CPNP-PC
Nurse Practitioner (Pediatrics)
1008 DICKERSON DR
JASPER, TX 75951
Jasper County (409) 489-9322

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 Children's Clinic Of Jasper's NPI number?

The NPI number for Children's Clinic Of Jasper is 1093168049. It was assigned to this organization in the NPPES registry on July 14, 2016.

Where is Children's Clinic Of Jasper located?

Children's Clinic Of Jasper is located at 1008 Dickerson Dr, Jasper, TX 75951. The listed phone number is (936) 634-2214.

What is Children's Clinic Of Jasper's specialty?

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

Does Children's Clinic Of Jasper hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0877934) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Children's Clinic Of Jasper was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.