OrganizationActive
Kids Klinic LLC
NPI 1215277652 · Rural Health Clinic/Center · Carriere, MS
Provider details
- NPI number
- 1215277652
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ahmad Haidar, Owner(601) 799-4777
- License
- 13678 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Country Club Rd
Carriere, MS 39426-9037
Phone: (601) 799-4777
Street-level locationGet directions
Mailing address
200 Country Club Rd
Carriere, MS 39426-9037
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2015-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.