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

Children's Medical Group, PA

Organization Pediatrics Physician · NPI 1588700603

Children's Medical Group, PA is a Pediatrics Physician in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956
Phone: (601) 362-8776
Fax: (601) 354-8786
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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 number1588700603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Smith — President · (601) 856-5105
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1867 Crane Ridge Dr Ste 101b, Jackson, MS 39216-4956

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