1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Pediatrics
  6. NPI Profile

GLUCKSTADT TC KIDS, LLC
NPI 1255947297
Pediatrics in Madison, MS

Active since September 16, 2020CLIA 25D2195703 · Certificate of Compliance
101 LEXINGTON DR STE A, MADISON, MS 39110(601) 707-3772(601) 707-3772 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Dec 4, 2020, Sep 16, 2020 (3 updates tracked since 2020).

About Gluckstadt Tc Kids, Llc NPPES

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

GLUCKSTADT TC KIDS, LLC (NPI 1255947297) is a healthcare organization registered as a pediatrics in Madison, Mississippi and active in the NPI registry since September 2020. The organization holds a CLIA Certificate of Compliance certificate valid through June 2, 2027, maintains 2 additional practice locations, and lists Heidi Ballard, Cao, as its authorized official.

NPPES Registry Identity

NPI1255947297
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGLUCKSTADT TC KIDS, LLC
Location Address101 LEXINGTON DR STE AMadison, MS 39110-6986
Mailing Address1107 Highland Colony Pkwy Ste 219Ridgeland, MS 39157-6079 · (601) 707-3279 · Fax (601) 707-3598
Phone(601) 707-3772
Fax(601) 707-3772
Organization SubpartYesParent: Trustcare Health, Llc
Authorized OfficialHeidi BallardCao · (601) 707-3279
Enumeration DateSeptember 16, 2020
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1255947297 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.

101 LEXINGTON DR STE A, Madison, MS 39110
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11651 W Government CvBrandon, MS 39042-2410 · Phone (601) 487-4340
Location 21073 Highway 51 Ste 101Madison, MS 39110-9014 · Phone (601) 499-1840

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D2195703

Gluckstadt Tc Kids LLC · Madison, MS
Active · expires Jun 2, 2027
CLIA Number25D2195703
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorKathy Chavez
Laboratory Phone(601) 707-3771
Laboratory LocationGluckstadt Tc Kids LLC101 Lexington Dr Ste A, Madison, MS 39110
CLIA data matches this NPI record on: Address Name
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 2

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

DR. CATHERINE P. PHILLIPPI M.D.
Pediatrics
101 LEXINGTON DR STE A
MADISON, MS 39110
Madison County (601) 707-3771
AVERY NASH NP
Nurse Practitioner (Family)
101 LEXINGTON DR STE A
GLUCKSTADT, MS 39110
Madison County (601) 707-3771

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 Gluckstadt Tc Kids, LLC's NPI number?

The NPI number for Gluckstadt Tc Kids, LLC is 1255947297. It was assigned to this organization in the NPPES registry on September 16, 2020.

Where is Gluckstadt Tc Kids, LLC located?

Gluckstadt Tc Kids, LLC is located at 101 Lexington Dr Ste A, Madison, MS 39110. The listed phone number is (601) 707-3772.

What is Gluckstadt Tc Kids, LLC's specialty?

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

Does Gluckstadt Tc Kids, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2195703) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gluckstadt Tc Kids, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Gluckstadt Tc Kids, LLC 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 Gluckstadt Tc Kids, LLC was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.