CHILDREN'S ACCELERATION PROGRAM, INC
NPI 1093865933
Nurse Practitioner - Pediatrics in Clarksdale, MS

Active since January 11, 2007
112 ISSAQUENA AVE, CLARKSDALE, MS 38614(662) 627-2741 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Acceleration Program, Inc NPPES

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

CHILDREN'S ACCELERATION PROGRAM, INC (NPI 1093865933) is a healthcare organization registered as a pediatrics in Clarksdale, Mississippi and active in the NPI registry since January 2007. The organization lists Doris Mitchell, Director, as its authorized official.

NPPES Registry Identity

NPI1093865933
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCHILDREN'S ACCELERATION PROGRAM, INC
Location Address112 ISSAQUENA AVEClarksdale, MS 38614-4315
Mailing AddressPo Box 1382Cleveland, MS 38732-1382 · (662) 627-2741 · Fax (662) 846-6306
Organization SubpartNo
Authorized OfficialDoris MitchellDirector · (662) 627-2741
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1093865933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MS · R125740
112 ISSAQUENA AVE, Clarksdale, MS 38614

Other Identifiers 2

Medicaid00009266MS
Medicaid00020541MS

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

Other Providers at the Same Location NPPES

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

In Home Supportive Care
112 ISSAQUENA AVE
CLARKSDALE, MS 38614

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 Acceleration Program, Inc's NPI number?

The NPI number for Children's Acceleration Program, Inc is 1093865933. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Children's Acceleration Program, Inc located?

Children's Acceleration Program, Inc is located at 112 Issaquena Ave, Clarksdale, MS 38614. The listed phone number is (662) 627-2741.

What is Children's Acceleration Program, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Children's Acceleration Program, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.