THE PEDIATRIC CLINIC, P.A.
NPI 1821085721
Pediatrics in Mount Pleasant, TX

Active since October 05, 2005
2001 N JEFFERSON AVE, SUITE 300, MOUNT PLEASANT, TX 75455(903) 572-9823(903) 572-4812 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Sep 17, 2025, Feb 11, 2025 and 2 more (5 updates tracked since 2021).

About The Pediatric Clinic, P.a. NPPES

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

THE PEDIATRIC CLINIC, P.A. (NPI 1821085721) is a healthcare organization registered as a pediatrics in Mount Pleasant, Texas and active in the NPI registry since October 2005. The organization lists Michael Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1821085721
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC CLINIC, P.A.
Location Address2001 N JEFFERSON AVE, SUITE 300Mount Pleasant, TX 75455-2371
Mailing Address2001 N Jefferson Ave Ste 300Mount Pleasant, TX 75455-2375 · (903) 572-9823 · Fax (903) 572-4812
Fax(903) 572-4812
Organization SubpartNo
Authorized OfficialMichael HenryOwner · (903) 572-9823
Enumeration DateOctober 5, 2005
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1821085721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Rural HealthTaxonomy 261QR1300X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
2001 N JEFFERSON AVE, Mount Pleasant, TX 75455

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Pediatric Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to The Pediatric Clinic, P.A., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pediatric Medicine9
Nurse Practitioner4

Clinicians, nearest first (13)

Pediatric Medicine
NPI 1902893019
2001 N JEFFERSON AVE SUITE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1174841902
2001 N JEFFERSON AVE SUITE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1841819950
2001 N JEFFERSON AVE STE 300
Mt Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1407843402
2001 N JEFFERSON AVE SUITE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Nurse Practitioner
NPI 1861709016
2001 N JEFFERSON AVE STE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1659392421
2001 N JEFFERSON AVE STE 300
Mt Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1578097036
2001 N JEFFERSON AVE STE 300
Mt Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Nurse Practitioner
NPI 1073178133
2001 N JEFFERSON AVE STE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1023005147
2001 N JEFFERSON AVE SUITE 300
Mount Pleasant, TX 75455
(903) 572-9823
✔ PECOSSame address
Pediatric Medicine
NPI 1740277888
2001 MULBERRY AVE
Mount Pleasant, TX 75455
(903) 577-7337
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1861884835
3564 N FOURTH ST STE B
Longview, TX 75605
(903) 231-3144
✔ PECOS45 mi
Nurse Practitioner
NPI 1982672010
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS55 mi
Pediatric Medicine
NPI 1083975452
757 E US HIGHWAY 80 STE 200
Forney, TX 75126
(972) 646-3346
✔ PECOS91 mi

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 The Pediatric Clinic, P.A.'s NPI number?

The NPI number for The Pediatric Clinic, P.A. is 1821085721. It was assigned to this organization in the NPPES registry on October 5, 2005.

Where is The Pediatric Clinic, P.A. located?

The Pediatric Clinic, P.A. is located at 2001 N Jefferson Ave Suite 300, Mount Pleasant, TX 75455. The listed phone number is (903) 572-9823.

What is The Pediatric Clinic, P.A.'s specialty?

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

Is The Pediatric Clinic, P.A. enrolled in Medicare?

Yes. The Pediatric Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Pediatric Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to The Pediatric Clinic, P.A.. 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. The largest specialties are Pediatric Medicine (9) and Nurse Practitioner (4). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Pediatric Clinic, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Pediatric Clinic, P.A. 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 The Pediatric Clinic, P.A. was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.