The Children's Clinic; P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE CHILDREN'S CLINIC; P.A.

Practice address

800 S Church St
Ste 400
Jonesboro, AR 72401-4176

Phone

(870) 935-6012

Fax

(870) 934-3157

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jo Wiles

Title

Administrator

Phone

(870) 935-6012

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 4

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.

• Anna Leigh Johnson, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1275397903
  NPD (past)
• Molly Johnson, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1821470733
  NPD (past)
• Haley Ann Webb, APRN

  • Family Nurse Practitioner
  • West Memphis, AR
  • NPI 1801595376
  NPD (past)
• David Lee Matthews, M.D.

  • Pediatrics Physician
  • Olympia, WA
  • NPI 1649238445
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326079104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST",
            "address_2": "STE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014176",
            "telephone_number": "870-935-6012",
            "fax_number": "870-934-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST",
            "address_2": "STE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014176",
            "telephone_number": "870-935-6012",
            "fax_number": "870-934-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CLINIC; P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-935-6012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Thatch, MHPP
• Amanda Thatcher
• Heather Louise Thatcher, ANP
• The Art of Healing
• The Art of Healing Counseling Center
• The Communication Station
• The Communication Station
• The Delta Therapy Group, LLC
• The Dental Clinic, Inc (Dental Clinic, Shirley McCleskey DDS)
• The Gray Area Counseling, PLLC

• Pediatrics Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.