Active NPI
Peace Children'S Clinic
- Health Service Clinic/Center
- Clinton, MS
National Provider Identifier
1104006923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PEACE CHILDREN'S CLINIC
- Practice address
- 210 Clinton PLZ
Clinton, MS 39056-5126 - Phone
- (601) 924-2008
- Fax
- (601) 924-2022
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louisa E Lawson, MD
- Title
- Owner
- Phone
- (601) 924-2008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
210 Clinton PLZ
Clinton, MS 39056-5126
Mailing address
210 Clinton PLZ
Clinton, MS 39056-5126
Phone (601) 924-2008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05705758 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Peace Children'S Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Jackson, MS
- NPI 1891975603
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Clinton, MS
- NPI 1811083785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1104006923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 CLINTON PLZ",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565126",
"telephone_number": "601-924-2008",
"fax_number": "601-924-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CLINTON PLZ",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565126",
"telephone_number": "601-924-2008",
"fax_number": "601-924-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE CHILDREN'S CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "LOUISA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-924-2008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05705758",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.