Childrens Clinic of Clarksdale PA
NPI 1497834030 · Pediatrics Physician · Clarksdale, MS
Childrens Clinic of Clarksdale PA is a Pediatrics Physician organization in Clarksdale, MS (NPI 1497834030).
Provider details
- NPI number
- 1497834030
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carole Mangrem, Partner(662) 627-4131
- License
- 07191 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Childrens Clinic of Clarksdale PA's NPI number?
- Childrens Clinic of Clarksdale PA's National Provider Identifier (NPI) is 1497834030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Childrens Clinic of Clarksdale PA?
- Childrens Clinic of Clarksdale PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Childrens Clinic of Clarksdale PA located?
- Childrens Clinic of Clarksdale PA's practice location on file with NPPES is 2245 N State Street, Clarksdale, MS 38614.
- What is Childrens Clinic of Clarksdale PA's phone number?
- The practice phone number listed in the NPPES registry for Childrens Clinic of Clarksdale PA is (662) 627-4131.
- Who is the authorized official for Childrens Clinic of Clarksdale PA?
- The authorized official listed on Childrens Clinic of Clarksdale PA's NPPES record is Carole Mangrem, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Childrens Clinic of Clarksdale PA's NPI active?
- Yes — Childrens Clinic of Clarksdale PA's NPI (1497834030) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.