GREENVILLE CHILDREN'S CLINIC
NPI 1780460642
Pediatrics in Greenville, MS
About Greenville Children's Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENVILLE CHILDREN'S CLINIC (NPI 1780460642) is a healthcare organization registered as a pediatrics in Greenville, Mississippi and active in the NPI registry since September 2023. The organization lists Jose Brevil, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Greenville Children's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Greenville Children's Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Cleveland Children's Clinic, PLLC's NPI number?
The NPI number for Cleveland Children's Clinic, PLLC is 1780460642. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as Greenville Children's Clinic.
Where is Cleveland Children's Clinic, PLLC located?
Cleveland Children's Clinic, PLLC is located at 1431 S Colorado St, Greenville, MS 38703. The listed phone number is (662) 579-3449.
What is Cleveland Children's Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Cleveland Children's Clinic, PLLC enrolled in Medicare?
Yes. Cleveland Children's Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleveland Children's Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cleveland Children's Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cleveland Children's Clinic, PLLC accept?
Health plans from Molina Healthcare list Cleveland Children's Clinic, 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 Cleveland Children's Clinic, PLLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Greenville Children's Clinic · NPI 1780460642
Pediatrics organization in Greenville, Mississippi. Organization record, active in the CMS NPPES registry since September 6, 2023.
## Identity
- **NPI:** 1780460642 (Entity type: Organization)
- **Enumerated:** September 6, 2023
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Cleveland Children's Clinic, Pllc
- **Organization subpart:** No
- **Authorized official:** Jose Brevil, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1431 S COLORADO ST, Greenville, MS 38703-7243
- **Phone:** (662) 579-3449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pediatric Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780460642) · Data from the CMS NPPES public registry.