1. Home
  2. Directory
  3. Mississippi
  4. Mccomb
  5. Pediatrics
  6. NPI Profile

MCCOMB CHILDREN'S CLINIC, LTD
NPI 1902888316
Pediatrics in Mccomb, MS

Active since November 19, 2005CLIA Certified · 2 labs
300 RAWLS DR STE 100, MCCOMB, MS 39648(601) 684-7623(601) 684-7247 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mccomb Children's Clinic, Ltd NPPES

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

MCCOMB CHILDREN'S CLINIC, LTD (NPI 1902888316) is a healthcare organization registered as a pediatrics in Mccomb, Mississippi and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates and lists Patrick E Tarpy, Vice President, as its authorized official.

NPPES Registry Identity

NPI1902888316
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMCCOMB CHILDREN'S CLINIC, LTD
Location Address300 RAWLS DR STE 100Mccomb, MS 39648-2852
Mailing Address300 Rawls Dr Ste 100Mccomb, MS 39648-2852 · (601) 684-7623 · Fax (601) 684-7247
Phone(601) 684-7623
Fax(601) 684-7247
Organization SubpartNo
Authorized OfficialPatrick E TarpyVice President · (601) 684-7623
Enumeration DateNovember 19, 2005
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1902888316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
300 RAWLS DR STE 100, Mccomb, MS 39648
Open in Google Maps ↗

Other Identifiers 1

Medicaid09011311MS

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 Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 of Compliance 25D0320050

Mccomb Children's Clinic Laboratory · Mccomb, MS
Active · expires Jul 6, 2028
CLIA Number25D0320050
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorAntoinette M. Hubble
Laboratory Phone(601) 684-7623
Laboratory LocationMccomb Children's Clinic Laboratory309 Llewellyn, Mccomb, MS 39648
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 25D2176339

Mccomb Children's Clinic · Tylertown, MS
Active · expires Dec 11, 2027
CLIA Number25D2176339
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorMicah Craft
Laboratory Phone(601) 684-7623
Laboratory LocationMccomb Children's Clinic4860 Plaza Dr, Tylertown, MS 39667
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. JARETT LAWRENCE POLLAN FNP
Nurse Practitioner (Family)
300 RAWLS DR STE 100
MCCOMB, MS 39648
Pike County (601) 684-2481

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 Mccomb Children's Clinic, Ltd's NPI number?

The NPI number for Mccomb Children's Clinic, Ltd is 1902888316. It was assigned to this organization in the NPPES registry on November 19, 2005.

Where is Mccomb Children's Clinic, Ltd located?

Mccomb Children's Clinic, Ltd is located at 300 Rawls Dr Ste 100, Mccomb, MS 39648. The listed phone number is (601) 684-7623.

What is Mccomb Children's Clinic, Ltd's specialty?

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

Does Mccomb Children's Clinic, Ltd hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mccomb Children's Clinic, Ltd accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mccomb Children's Clinic, Ltd 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 Mccomb Children's Clinic, Ltd was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.