DBA ENNIS CHILDRENS CLINIC
NPI 1134304520
Pediatrics in Ennis, TX

Active since January 03, 2008CLIA 45D0945655 · Waiver
601 S CLAY ST STE 101, ENNIS, TX 75119(972) 875-5220(972) 875-5606 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dba Ennis Childrens Clinic NPPES

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

DBA ENNIS CHILDRENS CLINIC (NPI 1134304520) is a healthcare organization registered as a pediatrics in Ennis, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Emmanuel Edmund Sackey, President, as its authorized official.

NPPES Registry Identity

NPI1134304520
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEMMANUEL E SACKEY MD, PA
Location Address601 S CLAY ST STE 101Ennis, TX 75119-5771
Mailing Address601 S Clay St Ste 101Ennis, TX 75119-5771 · (972) 875-5220 · Fax (972) 875-5606
Fax(972) 875-5606
Organization SubpartNo
Authorized OfficialEmmanuel Edmund SackeyPresident · (972) 875-5220
Enumeration DateJanuary 3, 2008
Last NPPES UpdateJanuary 7, 2008
NPI 1134304520 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.
601 S CLAY ST STE 101, Ennis, TX 75119

Other Names 1

Doing Business AsDba Ennis Childrens Clinic

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 Waiver 45D0945655

Emmanuel E Sackey, MD PA D/B/A Ennis Childrens Clinic · Ennis, TX
Active · expires May 5, 2028
CLIA Number45D0945655
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorEmmanuel E. Sackey
Laboratory Phone(972) 875-5220
Laboratory LocationEmmanuel E Sackey, MD PA D/B/A Ennis Childrens Clinic601 South Clay Suite 101, Ennis, TX 75119
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 3

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

Physician Assistant
601 S CLAY ST STE 101
ENNIS, TX 75119
Pediatrics
601 S CLAY ST STE 101
ENNIS, TX 75119
Physician Assistant (Medical)
601 S CLAY ST STE 101
ENNIS, TX 75119

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 Emmanuel E Sackey MD, PA's NPI number?

The NPI number for Emmanuel E Sackey MD, PA is 1134304520. It was assigned to this organization in the NPPES registry on January 3, 2008. The provider is doing business as Dba Ennis Childrens Clinic.

Where is Emmanuel E Sackey MD, PA located?

Emmanuel E Sackey MD, PA is located at 601 S Clay St Ste 101, Ennis, TX 75119. The listed phone number is (972) 875-5220.

What is Emmanuel E Sackey MD, PA's specialty?

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

Does Emmanuel E Sackey MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0945655) is associated with this NPI, valid through May 5, 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 Emmanuel E Sackey MD, PA was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.