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CLEVELAND CHILDREN'S CLINIC, PLLC
NPI 1093178337
Pediatrics in Cleveland, MS

Active since April 04, 2016CLIA Certified · 2 labs
818 E SUNFLOWER RD, CLEVELAND, MS 38732(662) 579-3449(662) 579-3459 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Feb 1, 2023, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

About Cleveland Children's Clinic, Pllc NPPES

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

CLEVELAND CHILDREN'S CLINIC, PLLC (NPI 1093178337) is a healthcare organization registered as a pediatrics in Cleveland, Mississippi and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Jose Brevil, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093178337
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCLEVELAND CHILDREN'S CLINIC, PLLC
Location Address818 E SUNFLOWER RDCleveland, MS 38732-2824
Mailing AddressPo Box 60Cleveland, MS 38732-0060 · (662) 579-3449 · Fax (662) 579-3469
Phone(662) 579-3449
Fax(662) 579-3459
Organization SubpartNo
Authorized OfficialJose BrevilExecutive Director · (662) 579-3449
Enumeration DateApril 4, 2016
Last NPPES UpdateJuly 20, 20236 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1093178337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MS · 23162
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.
818 E SUNFLOWER RD, Cleveland, MS 38732
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Other Identifiers 1

Medicaid00325056MS

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 25D2111970

Cleveland Children's Clinic, PLLC · Cleveland, MS
Active · expires Apr 18, 2028
CLIA Number25D2111970
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorNohemie Brevil
Laboratory Phone(954) 594-5104
Laboratory LocationCleveland Children's Clinic, PLLC818 E Sunflower Road, Cleveland, MS 38732
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2291313

Cleveland Children's Clinic - Greenville · Greenville, MS
Active · expires Oct 8, 2027
CLIA Number25D2291313
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorDr. Nohemie Brevil
Laboratory Phone(662) 579-3449
Laboratory LocationCleveland Children's Clinic - Greenville1431 S Colorado St, Greenville, MS 38703
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 2

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

DR. NOHEMIE BREVIL M.D., FAAP
Pediatrics
818 E SUNFLOWER RD
CLEVELAND, MS 38732
Bolivar County (662) 579-3449
ALLYSA MCNEER CPNP-PC
Nurse Practitioner (Pediatrics)
818 E SUNFLOWER RD
CLEVELAND, MS 38732
Bolivar County (662) 579-3449

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 Cleveland Children's Clinic, PLLC's NPI number?

The NPI number for Cleveland Children's Clinic, PLLC is 1093178337. It was assigned to this organization in the NPPES registry on April 4, 2016.

Where is Cleveland Children's Clinic, PLLC located?

Cleveland Children's Clinic, PLLC is located at 818 E Sunflower Rd, Cleveland, MS 38732. The listed phone number is (662) 579-3449.

What is Cleveland Children's Clinic, PLLC's specialty?

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

Does Cleveland Children's Clinic, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cleveland Children's Clinic, PLLC accept?

Health plans from Molina Healthcare list Cleveland Children's Clinic, 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 Cleveland Children's Clinic, PLLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.