Organization Active NPI

Mississippi Pediatric Endocrine Care PLLC

Doing business as MS Pediatric Endocrine Care

  • Pediatric Endocrinology Physician
  • Tupelo, MS
National Provider Identifier
1306502943
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
MISSISSIPPI PEDIATRIC ENDOCRINE CARE PLLC
Doing business as
MS Pediatric Endocrine Care
Practice address
2625 Traceland Dr Ste a
Tupelo, MS 38801-4240
Phone
(662) 432-0961
Fax
(662) 432-0965
NPI assigned
Nov 9, 2021
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sara A Silver, D.O.NPI 1780824714
Title
Sole Owner
Phone
(662) 432-0961

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)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

2625 Traceland Dr Ste a
Tupelo, MS 38801-4240

Mailing address

2625 Traceland Dr Ste a
Tupelo, MS 38801-4240
Phone (664) 432-0961

Other names 1

  • MS Pediatric Endocrine Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208000642 MS Part B Supplier - Clinic/Group Practice 5799175642 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, MS; New Albany, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2249166Mississippi Pediatric Endocrine Care, PLLC2625 Traceland Drive Suite a, Tupelo, MS 38801Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

2600 5th St N
Columbus, MS 39705
Phone (662) 241-4223

3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770

2625 Traceland Dr
Ste A
Tupelo, MS 38801
Phone (662) 260-4708

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1306502943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TRACELAND DR STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014240",
            "telephone_number": "664-432-0961",
            "fax_number": "664-432-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TRACELAND DR STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014240",
            "telephone_number": "662-432-0961",
            "fax_number": "662-432-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI PEDIATRIC ENDOCRINE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "662-432-0961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MS Pediatric Endocrine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MS Pediatric Endocrine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.