TRINITY PEDIATRIC CLINIC
NPI 1316238926
Clinic/Center - Primary Care in Jackson, MS

Active since April 29, 2011CLIA 25D2024130 · Waiver
1860 CHADWICK DR, SUITE 205, JACKSON, MS 39204(601) 376-2857 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Pediatric Clinic NPPES

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

TRINITY PEDIATRIC CLINIC (NPI 1316238926) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Audrey U Robertson, Manager, as its authorized official.

NPPES Registry Identity

NPI1316238926
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRINITY PEDIATRIC CLINIC
Location Address1860 CHADWICK DR, SUITE 205Jackson, MS 39204-3463
Mailing Address1860 Chadwick Dr, Suite 205Jackson, MS 39204-3463 · (601) 376-2857
Organization SubpartNo
Authorized OfficialAudrey U RobertsonManager · (601) 376-2857
Enumeration DateApril 29, 2011
NPI 1316238926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1860 CHADWICK DR, Jackson, MS 39204

Other Identifiers 1

Medicaid00118818MS

Accepted 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 25D2024130

Trinity Pediatric Clinic PLLC · Jackson, MS
Active · expires May 9, 2027
CLIA Number25D2024130
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorAudrey U. Robertson
Laboratory Phone(601) 376-2857
Laboratory LocationTrinity Pediatric Clinic PLLC1860 Chadwick Drive Suite 205, Jackson, MS 39204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1860 CHADWICK DR, STE 204
JACKSON, MS 39204
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1860 CHADWICK DR, SUITE 201
JACKSON, MS 39204
Obstetrics & Gynecology (Obstetrics)
1860 CHADWICK DR, 300
JACKSON, MS 39204
Obstetrics & Gynecology
1860 CHADWICK DR, SUITE 300
JACKSON, MS 39204
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1860 CHADWICK DR, SUITE 206
JACKSON, MS 39204
Podiatrist
1860 CHADWICK DR, SUITE 106
JACKSON, MS 39204
Orthopaedic Surgery
1860 CHADWICK DR, SUITE 105
JACKSON, MS 39204
Internal Medicine (Infectious Disease)
1860 CHADWICK DR, SUITE 104
JACKSON, MS 39204

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 Trinity Pediatric Clinic's NPI number?

The NPI number for Trinity Pediatric Clinic is 1316238926. It was assigned to this organization in the NPPES registry on April 29, 2011.

Where is Trinity Pediatric Clinic located?

Trinity Pediatric Clinic is located at 1860 Chadwick Dr Suite 205, Jackson, MS 39204. The listed phone number is (601) 376-2857.

What is Trinity Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Trinity Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2024130) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trinity Pediatric 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 Trinity Pediatric 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 Trinity Pediatric Clinic was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.