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FOREVER KIDS PEDIATRIC CLINIC
NPI 1326435199
Clinic/Center in Canton, TX

Active since April 20, 2015CLIA 45D2111874 · Waiver
20783 INTERSTATE 20 SOUTH ACCESS ROAD, CANTON, TX 75103(214) 773-5669(844) 678-6258 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Feb 11, 2020 (2 updates tracked since 2020).

About Forever Kids Pediatric Clinic NPPES

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

FOREVER KIDS PEDIATRIC CLINIC (NPI 1326435199) is a healthcare organization registered as a clinic/center in Canton, Texas and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Lacy Dawn Burkes, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1326435199
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFOREVER KIDS PEDIATRIC CLINIC
Location Address20783 INTERSTATE 20 SOUTH ACCESS ROADCanton, TX 75103
Mailing Address20783 Interstate 20 South Access RoadCanton, TX 75103 · (903) 567-5437 · Fax (844) 678-6258
Phone(214) 773-5669
Fax(844) 678-6258
Organization SubpartNo
Authorized OfficialLacy Dawn BurkesPediatric Nurse Practitioner · (214) 773-5669
Enumeration DateApril 20, 2015
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1326435199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · 754047
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
20783 INTERSTATE 20 SOUTH ACCESS ROAD, Canton, TX 75103
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Other Identifiers 2

Medicaid1349815603TX
Other1750646279TX · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 45D2111874

Forever Kids Pediatric Clinic · Canton, TX
Active · expires Apr 17, 2028
CLIA Number45D2111874
Laboratory TypePractitioner Other
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorLacy Burkes
Laboratory Phone(903) 567-5437
Laboratory LocationForever Kids Pediatric Clinic20783 Interstate 20 S Access Rd, Canton, TX 75103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Forever Kids Pediatric Clinic's NPI number?

The NPI number for Forever Kids Pediatric Clinic is 1326435199. It was assigned to this organization in the NPPES registry on April 20, 2015.

Where is Forever Kids Pediatric Clinic located?

Forever Kids Pediatric Clinic is located at 20783 Interstate 20 South Access Road, Canton, TX 75103. The listed phone number is (214) 773-5669.

What is Forever Kids Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Forever Kids Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2111874) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forever Kids Pediatric Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas list Forever Kids 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 Forever Kids Pediatric Clinic was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.