OrganizationActive
The Children'S Medical Group
NPI 1629237656 · Pediatrics Physician · Canton, MS
Provider details
- NPI number
- 1629237656
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Children'S Medical Group of Greenville PLLC
- Organization subpart
- Yes
- Authorized official
- Hosan Azomani, Manager(662) 334-9915
- License
- 18728 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1421 E Peace St
Canton, MS 39046-4938
Phone: (601) 859-5955
Street-level locationGet directions
Mailing address
Po Box 1735
Greenville, MS 38702-1735
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2008-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.