Pediatric & Adolescent Clinic LLC
NPI 1952163206 · Rural Health Clinic/Center · Natchez, MS
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric & Adolescent Clinic LLC is a Rural Health Clinic/Center organization in Natchez, MS (NPI 1952163206).
Provider details
- NPI number
- 1952163206
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Timm, Medical Director(601) 442-7676
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-23
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Pediatric & Adolescent Clinic LLC's NPI number?
- Pediatric & Adolescent Clinic LLC's National Provider Identifier (NPI) is 1952163206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric & Adolescent Clinic LLC?
- Pediatric & Adolescent Clinic LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric & Adolescent Clinic LLC located?
- Pediatric & Adolescent Clinic LLC's practice location on file with NPPES is 107 N Martin Luther King Jr St, Natchez, MS 39120-3356.
- What is Pediatric & Adolescent Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric & Adolescent Clinic LLC is (601) 442-7676.
- Does Pediatric & Adolescent Clinic LLC accept Medicare?
- Pediatric & Adolescent Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric & Adolescent Clinic LLC?
- The authorized official listed on Pediatric & Adolescent Clinic LLC's NPPES record is David Timm, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric & Adolescent Clinic LLC's NPI active?
- Yes — Pediatric & Adolescent Clinic LLC's NPI (1952163206) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.