OPEN ARMS CHILDREN'S CLINIC LLC,
NPI 1689144792
Nurse Practitioner - Family in Crystal Springs, MS

Active since December 01, 2018
809 N JACKSON ST STE C, CRYSTAL SPRINGS, MS 39059(601) 308-5253(601) 308-5263 Get Directions Write a Review

NPPES record last updated: December 1, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Open Arms Children's Clinic Llc, NPPES

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

OPEN ARMS CHILDREN'S CLINIC LLC, (NPI 1689144792) is a healthcare organization registered as a family in Crystal Springs, Mississippi and active in the NPI registry since December 2018. The organization lists Martha Mcgrew, Owner, as its authorized official.

NPPES Registry Identity

NPI1689144792
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPEN ARMS CHILDREN'S CLINIC LLC,
Location Address809 N JACKSON ST STE CCrystal Springs, MS 39059-2177
Mailing Address809 N Jackson St Ste CCrystal Springs, MS 39059-2177 · (601) 308-5253 · Fax (601) 308-5263
Fax(601) 308-5263
Organization SubpartNo
Authorized OfficialMartha McgrewOwner · (601) 308-5253
Enumeration DateDecember 1, 2018
✔ NPI 1689144792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
809 N JACKSON ST STE C, Crystal Springs, MS 39059

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Open Arms Children's Clinic Llc, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Open Arms Children's Clinic LLC,, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962916114
809 N JACKSON ST STE C
Crystal Springs, MS 39059
(601) 308-5253
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Open Arms Children's Clinic LLC,'s NPI number?

The NPI number for Open Arms Children's Clinic LLC, is 1689144792. It was assigned to this organization in the NPPES registry on December 1, 2018.

Where is Open Arms Children's Clinic LLC, located?

Open Arms Children's Clinic LLC, is located at 809 N Jackson St Ste C, Crystal Springs, MS 39059. The listed phone number is (601) 308-5253.

What is Open Arms Children's Clinic LLC,'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Open Arms Children's Clinic LLC, enrolled in Medicare?

Yes. Open Arms Children's Clinic LLC, is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Arms Children's Clinic LLC,?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Open Arms Children's Clinic LLC,. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Open Arms Children's Clinic LLC, accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Open Arms Children's Clinic 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 Open Arms Children's Clinic LLC, was last updated on December 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.