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KIDS BRIGHT CLINIC LLC
NPI 1780341396
Nurse Practitioner in Sumrall, MS

Active since November 18, 2021CLIA 25D2246693 · Waiver
4881 HIGHWAY 589, SUMRALL, MS 39482(601) 336-9099 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Oct 13, 2023, Jan 13, 2022 and 1 more (4 updates tracked since 2021).

About Kids Bright Clinic Llc NPPES

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

KIDS BRIGHT CLINIC LLC (NPI 1780341396) is a healthcare organization registered as a nurse practitioner in Sumrall, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Amanda Whiddon, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1780341396
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameKIDS BRIGHT CLINIC LLC
Location Address4881 HIGHWAY 589Sumrall, MS 39482
Mailing AddressPo Box 566Sumrall, MS 39482-0566 · (601) 336-9099 · Fax (601) 336-9099
Phone(601) 336-9099
Organization SubpartNo
Authorized OfficialAmanda WhiddonNp/owner · (601) 330-9099
Enumeration DateNovember 18, 2021
Last NPPES UpdateApril 25, 20254 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1780341396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4881 HIGHWAY 589, Sumrall, MS 39482
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2246693

Kids Bright Clinic, LLC · Sumrall, MS
Active · expires Dec 28, 2027
CLIA Number25D2246693
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorAmanda M. Cesare
Laboratory Phone(601) 336-9099
Laboratory LocationKids Bright Clinic, LLC4881 Hwy 589, Sumrall, MS 39482
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LESLIE ROLLINS FNP
Nurse Practitioner (Family)
4881 HIGHWAY 589
SUMRALL, MS 39482
Lamar County (601) 336-9099
AMANDA MCKENZIE CESARE CPNP, PC, PMHS
Nurse Practitioner
4881 HIGHWAY 589
SUMRALL, MS 39482
Lamar County (601) 336-9099
SARAH MCGREW LOWERY SLP
Speech-Language Pathologist
4881 HIGHWAY 589
SUMRALL, MS 39482
Lamar County (601) 336-9099

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 Kids Bright Clinic LLC's NPI number?

The NPI number for Kids Bright Clinic LLC is 1780341396. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Kids Bright Clinic LLC located?

Kids Bright Clinic LLC is located at 4881 Highway 589, Sumrall, MS 39482. The listed phone number is (601) 336-9099.

What is Kids Bright Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Kids Bright Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2246693) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kids Bright Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kids Bright 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 Kids Bright Clinic LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.