PICAYUNE PEDIATRICS LLC
NPI 1891150629
Preferred Provider Organization in Carriere, MS
NPI Status: Active since December 21, 2015
Contact Information
200 COUNTRY CLUB RD
CARRIERE, MS
ZIP 39426
Phone: (601) 590-1045
- Organization
- Preferred Provider Organization
- Accepts Insurance
- CLIA Number: 25D1075236
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 10-15-2027
About PICAYUNE PEDIATRICS LLC
This page provides the complete NPI Profile along with additional information for Picayune Pediatrics Llc, a provider established in Carriere, Mississippi operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1891150629 assigned on December 2015. The practitioner's primary taxonomy code is 305R00000X with license number R687693 (MS). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Betty Jo Alexander Cpnp (Owner)
- NPI
- 1891150629
- Provider Name
- PICAYUNE PEDIATRICS LLC
- Entity Type
- Organization
- Location Address
- 200 COUNTRY CLUB RD CARRIERE, MS 39426
- Location Phone
- (601) 590-1045
- Mailing Address
- 1704 W FOURTH AVE PICAYUNE, MS 39466
- Mailing Phone
- (601) 590-1045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2015
- Last Update Date
- 12-22-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- R687693
- License State
- MS
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D1075236
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- October 16, 2025
- Certificate Expiration Date
- October 15, 2027
- Laboratory Director
- JAMES W. GRIFFIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Picayune Pediatrics Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891150629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891150629, enumerated as an "organization" on December 21, 2015.
The provider is located at 200 COUNTRY CLUB RD CARRIERE, MS 39426 and the phone number is (601) 590-1045.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
