KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
NPI 1285305060
Clinical Nurse Specialist - Family Health in Pearl, MS

Q: What is Kids First Pediatric & Adult Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Active since September 22, 2021CLIA Certified · 2 labs

404 RIVERWIND DR STE B-1, PEARL, MS 39208(601) 623-9245(601) 623-9246 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kids First Pediatric & Adult Medicine, Llc NPPES

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

KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC (NPI 1285305060) is a healthcare organization registered as a family health in Pearl, Mississippi and active in the NPI registry since September 2021. The organization holds 2 active CLIA laboratory certificates and lists Tiffany Jackson, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285305060

Entity TypeOrganization

Primary Taxonomy364SF0001X

Legal Business NameKIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC

Location Address404 RIVERWIND DR STE B-1Pearl, MS 39208-5900

Mailing AddressPo Box 495Jackson, MS 39205-0495 · (601) 623-9245 · Fax (601) 623-9246

Phone(601) 623-9245

Fax(601) 623-9246

Organization SubpartYes

Authorized OfficialTiffany JacksonFamily Nurse Practitioner · (601) 623-9245

Enumeration DateSeptember 22, 2021

NPPES CertifiedSeptember 3, 2021

✔ NPI 1285305060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SF0001X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

404 RIVERWIND DR STE B-1, Pearl, MS 39208

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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 Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 25D2258078

Kids First Pediatric & Adult Medicine LLC · Pearl, MS

Active · expires Apr 14, 2028

CLIA Number25D2258078

Laboratory TypePractitioner Other

Certificate Effective DateApril 15, 2026

Certificate Expiration DateApril 14, 2028

Laboratory DirectorTiffany Jackson

Laboratory Phone(601) 623-9245

Laboratory LocationKids First Pediatric & Adult Medicine LLC404 Riverwind Dr Ste B-1, Pearl, MS 39208

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2109651

Kids First Pediatric Clinic, LLC · Hazlehurst, MS

Active · expires Feb 28, 2028

CLIA Number25D2109651

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 28, 2026

Certificate Expiration DateFebruary 28, 2028

Laboratory DirectorTiffany R. Jackson

Laboratory Phone(601) 623-9245

Laboratory LocationKids First Pediatric Clinic, LLC529 Lake Street, Suite B, Hazlehurst, MS 39083

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TIFFANY JACKSON FNP-C

Nurse Practitioner

404 RIVERWIND DR STE B-1
PEARL, MS 39208

Rankin County (601) 623-9245

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 Kids First Pediatric & Adult Medicine, LLC's NPI number?

The NPI number for Kids First Pediatric & Adult Medicine, LLC is 1285305060. It was assigned to this organization in the NPPES registry on September 22, 2021.

Where is Kids First Pediatric & Adult Medicine, LLC located?

Kids First Pediatric & Adult Medicine, LLC is located at 404 Riverwind Dr Ste B-1, Pearl, MS 39208. The listed phone number is (601) 623-9245.

What is Kids First Pediatric & Adult Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Does Kids First Pediatric & Adult Medicine, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Kids First Pediatric & Adult Medicine, LLC accept?

Health plans from Molina Healthcare list Kids First Pediatric & Adult Medicine, 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 Kids First Pediatric & Adult Medicine, LLC was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.