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PEACE CHILDREN'S CLINIC
NPI 1891975603
Clinic/Center - Primary Care in Jackson, MS

Active since November 08, 2007CLIA 25D0991179 · Microscopy
514H E WOODROW WILSON AVE, JACKSON, MS 39216(601) 713-3900(601) 713-3970 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peace Children's Clinic NPPES

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

PEACE CHILDREN'S CLINIC (NPI 1891975603) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through September 12, 2027 and lists Louisa E Lawson, Owner, as its authorized official.

NPPES Registry Identity

NPI1891975603
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEACE CHILDREN'S CLINIC
Location Address514H E WOODROW WILSON AVEJackson, MS 39216-4538
Mailing Address514h E Woodrow Wilson AveJackson, MS 39216-4538 · (601) 713-3900 · Fax (601) 713-3970
Phone(601) 713-3900
Fax(601) 713-3970
Organization SubpartNo
Authorized OfficialLouisa E LawsonOwner · (601) 713-3900
Enumeration DateNovember 8, 2007
✔ NPI 1891975603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 14149
514H E WOODROW WILSON AVE, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 1

Medicaid02305351MS

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 for Provider-Performed Microscopy Procedures (PPMP) 25D0991179

Peace Childrens Clinic · Clinton, MS
Active · expires Sep 12, 2027
CLIA Number25D0991179
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Louisa Lawson
Laboratory Phone(601) 713-3900
Laboratory LocationPeace Childrens Clinic501 Springridge Rd, Clinton, MS 39056
CLIA data matches this NPI record on: 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 4

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

MRS. AMMY HUTTON DAVIS CPNP
Nurse Practitioner (Pediatrics)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
MRS. FORTENISE A MASON CNP
Nurse Practitioner (Family)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
AUDREY UKACHI ROBERTSON MD
Pediatrics
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
MONIFA RI'ANA BEAL FNP-BC
Nurse Practitioner (Family)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900

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 Peace Children's Clinic's NPI number?

The NPI number for Peace Children's Clinic is 1891975603. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Peace Children's Clinic located?

Peace Children's Clinic is located at 514H E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 713-3900.

What is Peace Children's Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Peace Children's Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0991179) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peace Children's Clinic accept?

Health plans from Molina Healthcare list Peace Children's 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 Peace Children's Clinic was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.