MILESTONES PEDIATRIC CLINIC, LLC
NPI 1114543980
Nurse Practitioner - Pediatrics in Brookhaven, MS

Q: What is Milestones Pediatric Clinic, LLC's NPI number?

The NPI number for Milestones Pediatric Clinic, LLC is 1114543980. It was assigned to this organization in the NPPES registry on June 17, 2020.

Q: What is Milestones Pediatric Clinic, LLC's specialty?

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

Active since June 17, 2020

224 S CHURCH ST STE B, BROOKHAVEN, MS 39601(601) 990-4028 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2023, Aug 13, 2020, Jun 17, 2020 (3 updates tracked since 2020).

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About Milestones Pediatric Clinic, Llc NPPES

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

MILESTONES PEDIATRIC CLINIC, LLC (NPI 1114543980) is a healthcare organization registered as a pediatrics in Brookhaven, Mississippi and active in the NPI registry since June 2020. The organization lists Ashley Hatcher Hickman, Owner, as its authorized official.

NPPES Registry Identity

NPI1114543980

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameMILESTONES PEDIATRIC CLINIC, LLC

Location Address224 S CHURCH ST STE BBrookhaven, MS 39601-3232

Mailing Address224 S Church St Ste BBrookhaven, MS 39601-3232 · (601) 990-4028

Phone(601) 990-4028

Organization SubpartNo

Authorized OfficialAshley Hatcher HickmanOwner · (601) 990-4028

Enumeration DateJune 17, 2020

Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1114543980 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

224 S CHURCH ST STE B, Brookhaven, MS 39601

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Other Identifiers 1

Medicaid008700082MS

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.

ASHLEY HICKMAN CPNP

Nurse Practitioner (Pediatrics)

224 S CHURCH ST STE B
BROOKHAVEN, MS 39601

Lincoln County (601) 757-2060

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 Milestones Pediatric Clinic, LLC's NPI number?

The NPI number for Milestones Pediatric Clinic, LLC is 1114543980. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Milestones Pediatric Clinic, LLC located?

Milestones Pediatric Clinic, LLC is located at 224 S Church St Ste B, Brookhaven, MS 39601. The listed phone number is (601) 990-4028.

What is Milestones Pediatric Clinic, LLC'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 Milestones Pediatric Clinic, LLC was last updated on January 19, 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.