Divinity Pediatric Clinic, PLLC
NPI 1629741152 · Pediatric Nurse Practitioner · Pearl, MS
Divinity Pediatric Clinic, PLLC is a Pediatric Nurse Practitioner organization in Pearl, MS (NPI 1629741152).
Provider details
- NPI number
- 1629741152
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rekita Mccoy, Ceo(601) 345-4044
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-07-29
- Last updated
- 2022-09-03
- Certified
- 2022-09-03
Frequently asked questions
- What is Divinity Pediatric Clinic, PLLC's NPI number?
- Divinity Pediatric Clinic, PLLC's National Provider Identifier (NPI) is 1629741152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divinity Pediatric Clinic, PLLC?
- Divinity Pediatric Clinic, PLLC is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Divinity Pediatric Clinic, PLLC located?
- Divinity Pediatric Clinic, PLLC's practice location on file with NPPES is 200 Riverwind Dr Ste 104, Pearl, MS 39208-5652.
- What is Divinity Pediatric Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divinity Pediatric Clinic, PLLC is (601) 345-4044.
- Who is the authorized official for Divinity Pediatric Clinic, PLLC?
- The authorized official listed on Divinity Pediatric Clinic, PLLC's NPPES record is Rekita Mccoy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divinity Pediatric Clinic, PLLC's NPI active?
- Yes — Divinity Pediatric Clinic, PLLC's NPI (1629741152) is active in the NPPES registry as of the last update on 2022-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.