PEDIATRIC & ADOLESCENT CLINIC LLC
NPI 1952163206
Clinic/Center - Rural Health in Natchez, MS

Q: What is Pediatric & Adolescent Clinic LLC's NPI number?

The NPI number for Pediatric & Adolescent Clinic LLC is 1952163206. It was assigned to this organization in the NPPES registry on January 23, 2024.

Q: What is Pediatric & Adolescent Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since January 23, 2024

107 N MARTIN LUTHER KING JR ST, NATCHEZ, MS 39120(601) 442-7676(601) 442-9590 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Pediatric & Adolescent Clinic Llc NPPES

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

PEDIATRIC & ADOLESCENT CLINIC LLC (NPI 1952163206) is a healthcare organization registered as a rural health in Natchez, Mississippi and active in the NPI registry since January 2024. The organization lists David A Timm, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1952163206

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePEDIATRIC & ADOLESCENT CLINIC LLC

Location Address107 N MARTIN LUTHER KING JR STNatchez, MS 39120-3356

Mailing Address308 Highland BlvdNatchez, MS 39120-4611 · (601) 442-7676 · Fax (601) 442-9590

Phone(601) 442-7676

Fax(601) 442-9590

Organization SubpartNo

Authorized OfficialDavid A TimmMedical Director · (601) 442-7676

Enumeration DateJanuary 23, 2024

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1952163206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedPediatricsTaxonomy 208000000X

107 N MARTIN LUTHER KING JR ST, Natchez, MS 39120

Open in Google Maps ↗

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 Molina Healthcare.Insurance ›

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 Pediatric & Adolescent Clinic LLC's NPI number?

The NPI number for Pediatric & Adolescent Clinic LLC is 1952163206. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Pediatric & Adolescent Clinic LLC located?

Pediatric & Adolescent Clinic LLC is located at 107 N Martin Luther King Jr St, Natchez, MS 39120. The listed phone number is (601) 442-7676.

What is Pediatric & Adolescent Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Pediatric & Adolescent Clinic LLC accept?

Health plans from Molina Healthcare list Pediatric & Adolescent Clinic LLC 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 Pediatric & Adolescent Clinic LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.