Claye W Childers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7909 Issued in MS

Practice address

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851

Phone

(901) 261-2506

Fax

(901) 261-2590

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2025.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1508679309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-725-8347",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SOUTHCREST PKWY STE 105",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714851",
            "telephone_number": "901-261-2506",
            "fax_number": "901-261-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "CLAYE",
        "middle_name": "W",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "7909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis R Chanin, DO
• Saraka Chapman, NP
• Justin Nathaniel Augustus Charles, PHARMD
• Meagan Duval Chastant-Qualls, FNP
• Sufiyan H Chaudhry, MD
• Shaunder Chillis, RN
• Chiropractic Wellness Centre, PLLC
• Ashley B Chittenden, CPNP-AC/PC
• Claiborne Ashby Christian, M.D.
• Richard Christian, DNP

• All providers in Southaven, MS
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.