BEANSTALK PEDIATRICS, PLLC
NPI 1740967520
Pediatrics in Ridgeland, MS

Q: What is Beanstalk Pediatrics, PLLC's NPI number?

The NPI number for Beanstalk Pediatrics, PLLC is 1740967520. It was assigned to this organization in the NPPES registry on July 3, 2023.

Q: What is Beanstalk Pediatrics, PLLC's specialty?

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

Active since July 03, 2023CLIA 25D2287583 · Waiver

320 W JACKSON ST, RIDGELAND, MS 39157(769) 567-1527 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2025, Jul 3, 2023 (2 updates tracked since 2023).

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About Beanstalk Pediatrics, Pllc NPPES

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

BEANSTALK PEDIATRICS, PLLC (NPI 1740967520) is a healthcare organization registered as a pediatrics in Ridgeland, Mississippi and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Constance P Barnes-woods, Owner, as its authorized official.

NPPES Registry Identity

NPI1740967520

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBEANSTALK PEDIATRICS, PLLC

Location Address320 W JACKSON STRidgeland, MS 39157-2222

Mailing Address320 W Jackson StRidgeland, MS 39157-2222 · (769) 567-1527

Phone(769) 567-1527

Organization SubpartNo

Authorized OfficialConstance P Barnes-woodsOwner · (769) 567-1527

Enumeration DateJuly 3, 2023

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1740967520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

320 W JACKSON ST, Ridgeland, MS 39157

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Beanstalk Pediatrics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Beanstalk Pediatrics, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Capistran, NP

Nurse Practitioner

NPI 1508530296

320 W JACKSON ST
Ridgeland, MS 39157

(769) 567-1527

✔ PECOS0.8 mi

Constance Barnes-Woods, M.D.

Pediatric Medicine

NPI 1538521901

2100 HIGHWAY 61 N
Vicksburg, MS 39183

(601) 883-3391

✔ PECOS40 mi

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

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 25D2287583

Beanstalk Pediatrics PLLC · Ridgeland, MS

Active · expires Aug 14, 2027

CLIA Number25D2287583

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorDr. Constance Barnes-Woods

Laboratory Phone(769) 567-1527

Laboratory LocationBeanstalk Pediatrics PLLC320 W Jackson St, Ridgeland, MS 39157

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 Beanstalk Pediatrics, PLLC's NPI number?

The NPI number for Beanstalk Pediatrics, PLLC is 1740967520. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Beanstalk Pediatrics, PLLC located?

Beanstalk Pediatrics, PLLC is located at 320 W Jackson St, Ridgeland, MS 39157. The listed phone number is (769) 567-1527.

What is Beanstalk Pediatrics, PLLC's specialty?

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

Is Beanstalk Pediatrics, PLLC enrolled in Medicare?

Yes. Beanstalk Pediatrics, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beanstalk Pediatrics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Beanstalk Pediatrics, PLLC, in Nurse Practitioner and Pediatric Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beanstalk Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2287583) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beanstalk Pediatrics, PLLC accept?

Health plans from Molina Healthcare list Beanstalk Pediatrics, PLLC 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 Beanstalk Pediatrics, PLLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.