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C. EDWIN CHILDERS, JR., MD, PLLC
NPI 1841408978
Pediatrics in South Charleston, WV

Active since May 21, 2007
4607 MACCORKLE AVE SW, MP STE 204, SOUTH CHARLESTON, WV 25309(304) 767-7930(304) 767-7935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C. Edwin Childers, Jr., Md, Pllc NPPES

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

C. EDWIN CHILDERS, JR., MD, PLLC (NPI 1841408978) is a healthcare organization registered as a pediatrics in South Charleston, West Virginia and active in the NPI registry since May 2007. The organization lists Clark Edwin Childers, Physician, as its authorized official.

NPPES Registry Identity

NPI1841408978
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameC. EDWIN CHILDERS, JR., MD, PLLC
Location Address4607 MACCORKLE AVE SW, MP STE 204South Charleston, WV 25309-1364
Mailing Address4607 Maccorkle Ave Sw, Mp Ste 204South Charleston, WV 25309-1364 · (304) 767-7930 · Fax (304) 767-7935
Phone(304) 767-7930
Fax(304) 767-7935
Organization SubpartNo
Authorized OfficialClark Edwin ChildersPhysician · (304) 767-7930
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841408978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 18115
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.
4607 MACCORKLE AVE SW, South Charleston, WV 25309
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Other Identifiers 1

Medicaid0109655000WV

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

Other Providers at the Same Location NPPES 20

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

DR. KARA MICHELLE WHITE DO
Pediatrics
4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4400
MELISSA N. BACCHUS, MD, PLLC
Pediatrics
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7930
WOMYN, INC.
Specialist
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-7770
CYNTHIA COLEMAN
Nurse Practitioner (Family)
4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 414-2800
DR. ANDREA HILL M.D.
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-7228
DR. CLARK EDWIN CHILDERS JR. M.D.
Pediatrics
4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7930
DR. KIMBERLY BUSH UY M.D.
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Kanawha County (606) 679-8391
ELIZABETH L. BROWN, MD, PLLC
Internal Medicine
4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7810

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 C. Edwin Childers, Jr., MD, PLLC's NPI number?

The NPI number for C. Edwin Childers, Jr., MD, PLLC is 1841408978. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is C. Edwin Childers, Jr., MD, PLLC located?

C. Edwin Childers, Jr., MD, PLLC is located at 4607 Maccorkle Ave SW Mp Ste 204, South Charleston, WV 25309. The listed phone number is (304) 767-7930.

What is C. Edwin Childers, Jr., MD, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for C. Edwin Childers, Jr., MD, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.