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CHILDRENS HEALTH CLINIC
NPI 1275158776
Nurse Practitioner - Family in Grenada, MS

Active since June 10, 2020CLIA 25D0317189 · Waiver
340 VAN DORN ST, GRENADA, MS 38901(662) 226-0325(662) 226-0327 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2020, Jun 10, 2020 (2 updates tracked since 2020).

About Childrens Health Clinic NPPES

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

CHILDRENS HEALTH CLINIC (NPI 1275158776) is a healthcare organization registered as a family in Grenada, Mississippi and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Melanie Renae Williams, Nurse/owner, as its authorized official.

NPPES Registry Identity

NPI1275158776
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHILDRENS HEALTH CLINIC
Location Address340 VAN DORN STGrenada, MS 38901-4738
Mailing Address340 Van Dorn StGrenada, MS 38901-4738 · (662) 226-0325 · Fax (662) 226-0327
Phone(662) 226-0325
Fax(662) 226-0327
Organization SubpartNo
Authorized OfficialMelanie Renae WilliamsNurse/owner · (662) 226-0325
Enumeration DateJune 10, 2020
Last NPPES UpdateJuly 17, 20202 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1275158776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
340 VAN DORN ST, Grenada, MS 38901
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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 Waiver 25D0317189

Children's Health Clinic LLC · Grenada, MS
Active · expires Jun 22, 2028
CLIA Number25D0317189
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorMelanie R. Williams
Laboratory Phone(601) 226-0325
Laboratory LocationChildren's Health Clinic LLC340 Van Dorn, Grenada, MS 38901
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SHAKEVA LUMAS NP-C
Nurse Practitioner (Family)
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 520-8663
LUMAS HEALTHCARE AND ASSOCIATES LLC
Nurse Practitioner (Family)
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 520-8663
DR. HAROLD DAVID SIMMONS MD
Pediatrics
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 226-0325
H. DAVID SIMMONS
Pediatrics
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 226-0325
JAMES W. FITE, MD
Pediatrics
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 226-0325
MS. CYNTHIA LYNN BURCHFIELD FNP-C
Nurse Practitioner (Family)
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 417-7540
MS. GWENDOLYN SPRAYBERRY LORDEON MSN, NP-C
Nurse Practitioner (Family)
340 VAN DORN ST
GRENADA, MS 38901
Grenada County (662) 226-0325

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 Childrens Health Clinic's NPI number?

The NPI number for Childrens Health Clinic is 1275158776. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Childrens Health Clinic located?

Childrens Health Clinic is located at 340 Van Dorn St, Grenada, MS 38901. The listed phone number is (662) 226-0325.

What is Childrens Health Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Childrens Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0317189) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Childrens Health Clinic 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 Childrens Health Clinic 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 Childrens Health Clinic was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.