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CHILD & ADOLESCENT CLINIC
NPI 1831257070
Specialist in Paragould, AR

Active since December 04, 2006CLIA 04D0932085 · Microscopy
1204 W KINGSHIGHWAY, PARAGOULD, AR 72450(870) 239-5437(870) 239-4211 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Child & Adolescent Clinic NPPES

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

CHILD & ADOLESCENT CLINIC (NPI 1831257070) is a healthcare organization registered as a specialist in Paragould, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 11, 2027 and lists Vern Ann Shotts, Physician, as its authorized official.

NPPES Registry Identity

NPI1831257070
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHILD & ADOLESCENT CLINIC
Location Address1204 W KINGSHIGHWAYParagould, AR 72450-4143
Mailing Address1204 W KingshighwayParagould, AR 72450-4143 · (870) 239-5437 · Fax (870) 239-4211
Phone(870) 239-5437
Fax(870) 239-4211
Organization SubpartNo
Authorized OfficialVern Ann ShottsPhysician · (870) 239-5437
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1831257070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1204 W KINGSHIGHWAY, Paragould, AR 72450
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Other Identifiers 1

Other5B870AR · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 for Provider-Performed Microscopy Procedures (PPMP) 04D0932085

Child & Adolescent Medical Clinic · Paragould, AR
Active · expires Aug 11, 2027
CLIA Number04D0932085
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorJanet C. Crawford
Laboratory Phone(870) 239-5437
Laboratory LocationChild & Adolescent Medical Clinic1204 West Kingshighway, Paragould, AR 72450
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

JANET LORENE CARMACK-CRAWFORD
Pediatrics
1204 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-5437
VERN ANN SHOTTS MD
Pediatrics
1204 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-5437

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 Child & Adolescent Clinic's NPI number?

The NPI number for Child & Adolescent Clinic is 1831257070. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Child & Adolescent Clinic located?

Child & Adolescent Clinic is located at 1204 W Kingshighway, Paragould, AR 72450. The listed phone number is (870) 239-5437.

What is Child & Adolescent Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Child & Adolescent Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0932085) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Child & Adolescent Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Child & Adolescent Clinic 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 Child & Adolescent Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.