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GREENVILLE CHILDREN'S CLINIC
NPI 1780460642
Pediatrics in Greenville, MS

Active since September 06, 2023
1431 S COLORADO ST, GREENVILLE, MS 38703(662) 579-3449 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2023, Sep 6, 2023 (2 updates tracked since 2023).

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

NPI1780460642
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCLEVELAND CHILDREN'S CLINIC, PLLC
Location Address1431 S COLORADO STGreenville, MS 38703-7243
Mailing AddressPo Box 60Cleveland, MS 38732-0060 · (662) 579-3449
Phone(662) 579-3449
Organization SubpartNo
Authorized OfficialJose BrevilExecutive Director · (662) 579-3449
Enumeration DateSeptember 6, 2023
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1780460642 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.

1431 S COLORADO ST, Greenville, MS 38703
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Other Names 1

Doing Business AsGreenville Children's Clinic

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 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 25D0316731

Greenville Clinic, The · Greenville, MS
Active · expires Sep 13, 2027
CLIA Number25D0316731
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDr. Allen H. Thompson
Laboratory Phone(662) 379-8119
Laboratory LocationGreenville Clinic, The1502 South Colorado St, Greenville, MS 38703
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

What is CLEVELAND CHILDREN'S CLINIC, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1780460642, enumerated as an "organization" on September 06, 2023.

Where is the provider located?

The provider is located at 1431 S COLORADO ST GREENVILLE, MS 38703 and the phone number is (662) 579-3449.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does CLEVELAND CHILDREN'S CLINIC, PLLC accept?

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.