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

The Children's Medical Group of Greenville, PLLC

Organization Pediatrics Physician · NPI 1174711279

The Children's Medical Group of Greenville, PLLC is a Pediatrics Physician in Greenville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

559 Arnold Ave Ste A
Greenville, MS 38701-5323
Phone: (662) 334-9915
Fax: (662) 334-9740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18728 (MS)

Record details

NPI number1174711279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hosan Azomani — Manager · (662) 334-9915
NPI enumeratedOctober 15, 2007
Last updated in NPPESJune 1, 2008
Mailing addressPo Box 1735, Greenville, MS 38702-1735

Other providers in Greenville