NPIMap

Organization Active NPI

Starkville Pediatric Clinic

  • Pediatrics Physician
  • Starkville, MS
National Provider Identifier
1477660520
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STARKVILLE PEDIATRIC CLINIC
Practice address
5 Professional Plaza
Starkville, MS 39759
Phone
(662) 323-0999
Fax
(662) 323-0491
NPI assigned
Aug 24, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Cindy Ruff
Title
Cfo/Office Manager
Phone
(662) 323-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5 Professional Plaza
Starkville, MS 39759

Mailing address

5 Professional Plaza
Starkville, MS 39759
Phone (662) 323-0999

Other identifiers 1

IdentifierTypeStateIssuer
09015837MedicaidMS

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
25D0320296Starkville Pediatric Clinic#5 Professional Plaza, Starkville, MS 39759ComplianceJan 14, 2028

National Provider Directory

National Provider Directory

Locations

5 Professional Plz
Starkville, MS 39759
Phone (662) 323-0999

Practitioners & affiliated clinicians

Practitioners 10

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1477660520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLAZA",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-0999",
            "fax_number": "662-323-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLAZA",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-0999",
            "fax_number": "662-323-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CFO/OFFICE MANAGER",
        "authorized_official_telephone_number": "662-323-0999"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015837",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.