Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital City Children and Adolescent Clinic

Organization Pediatrics Physician · NPI 1912088790

Capital City Children and Adolescent Clinic is a Pediatrics Physician in Jackson, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2679 Crane Ridge Dr Ste F
Jackson, MS 39216-4997
Phone: (601) 362-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1912088790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geraldine Chaney — Owner · (601) 362-7476
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2679 Crane Ridge Dr, Ste F, Jackson, MS 39216-4997

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