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CHILDREN'S MEDICAL GROUP, P.A.
NPI 1588700603
Pediatrics in Jackson, MS

Active since January 29, 2007CLIA Certified · 3 labs
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216(601) 362-8776(601) 354-8786 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Medical Group, P.a. NPPES

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

CHILDREN'S MEDICAL GROUP, P.A. (NPI 1588700603) is a healthcare organization registered as a pediatrics in Jackson, Mississippi and active in the NPI registry since January 2007. The organization holds 3 active CLIA laboratory certificates and lists William H. Smith, President, as its authorized official.

NPPES Registry Identity

NPI1588700603
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S MEDICAL GROUP, P.A.
Location Address1867 CRANE RIDGE DR STE 101BJackson, MS 39216-4956
Mailing Address1867 Crane Ridge Dr Ste 101bJackson, MS 39216-4956 · (601) 362-8776 · Fax (601) 354-8786
Phone(601) 362-8776
Fax(601) 354-8786
Organization SubpartNo
Authorized OfficialWilliam H. SmithPresident · (601) 856-5105
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588700603 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.
1867 CRANE RIDGE DR STE 101B, Jackson, MS 39216
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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

CLIA Laboratory Certificates CMS CLIA 3

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 25D0317950

Children's Medical Group PA · Jackson, MS
Active · expires Jun 21, 2027
CLIA Number25D0317950
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorAmanda Penny
Laboratory Phone(601) 362-8776
Laboratory LocationChildren's Medical Group PA1867 Crane Ridge Dr Suite 101B, Jackson, MS 39216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 25D0861270

Childrens Medical Group Madison · Madison, MS
Active · expires Feb 16, 2028
CLIA Number25D0861270
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Amanda S. Penny
Laboratory Phone(601) 856-5105
Laboratory LocationChildrens Medical Group Madison7726 Old Canton Road, Madison, MS 39110
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 25D2307765

Children's Medical Group-Richland · Richland, MS
Active · expires Dec 18, 2026
CLIA Number25D2307765
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorJennifer K. Myers
Laboratory Phone(601) 362-8776
Laboratory LocationChildren's Medical Group-Richland120 Scarbough Street, Suite A, Richland, MS 39218
CLIA data matches this NPI record on: Phone
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 5

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

DR. PAUL B. WELCH M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
DR. SAMUEL P, HOPPER M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
DR. ERWYN E. FREEMAN JR. M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
KRISTIE S. ROHMAN M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
DR. MELINDA S. RAY M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776

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 Children's Medical Group, P.A.'s NPI number?

The NPI number for Children's Medical Group, P.A. is 1588700603. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Children's Medical Group, P.A. located?

Children's Medical Group, P.A. is located at 1867 Crane Ridge Dr Ste 101B, Jackson, MS 39216. The listed phone number is (601) 362-8776.

What is Children's Medical Group, P.A.'s specialty?

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

Does Children's Medical Group, P.A. hold CLIA laboratory certificates?

Yes. 3 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.

When was this NPI record last updated?

The NPPES record for Children's Medical Group, P.A. was last updated on August 22, 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.