OXFORD PEDIATRIC GROUP, PLLC
NPI 1679634638
Pediatrics in Oxford, MS

Q: What is Oxford Pediatric Group, PLLC's NPI number?

The NPI number for Oxford Pediatric Group, PLLC is 1679634638. It was assigned to this organization in the NPPES registry on December 13, 2006.

Q: What is Oxford Pediatric Group, PLLC's specialty?

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

Active since December 13, 2006CLIA 25D1002756 · Certificate of Compliance

1203 MEDICAL PARK DR, OXFORD, MS 38655(662) 513-4399(662) 513-4330 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Oxford Pediatric Group, Pllc NPPES

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

OXFORD PEDIATRIC GROUP, PLLC (NPI 1679634638) is a healthcare organization registered as a pediatrics in Oxford, Mississippi and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 21, 2027 and lists Pam I Marriam, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679634638

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameOXFORD PEDIATRIC GROUP, PLLC

Location Address1203 MEDICAL PARK DROxford, MS 38655-5327

Mailing Address1203 Medical Park DrOxford, MS 38655-5327 · (662) 513-4399 · Fax (662) 513-4330

Phone(662) 513-4399

Fax(662) 513-4330

Organization SubpartNo

Authorized OfficialPam I MarriamOffice Manager · (662) 513-4399

Enumeration DateDecember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1679634638 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.

1203 MEDICAL PARK DR, Oxford, MS 38655

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Other Identifiers 1

Medicaid08420763MS

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

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 25D1002756

Oxford Pediatric Group PLLC · Oxford, MS

Active · expires Jan 21, 2027

CLIA Number25D1002756

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2025

Certificate Expiration DateJanuary 21, 2027

Laboratory DirectorDavid M. Dennis

Laboratory Phone(662) 513-4399

Laboratory LocationOxford Pediatric Group PLLC101 Farm View Drive, Oxford, MS 38655

CLIA data matches this NPI record on: 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.

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Other Providers at the Same Location NPPES 15

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

RHAGEN NELSON

Nurse Practitioner (Psychiatric/Mental Health)