Pioneer Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PIONEER PEDIATRICS, LLC

Practice address

161 Montgomery St Ste D
Madison, MS 39110-1118

Phone

(769) 300-5220

Fax

(601) 623-4300

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Justin Michael Lay, DONPI 1093109316

Title

Ceo

Phone

(601) 606-2589

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin M. Lay, D.O.

  • Pediatrics Physician
  • Madison, MS
  • NPI 1093109316
  NPD Authorized official

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1558246579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MONTGOMERY ST STE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101118",
            "telephone_number": "769-300-5220",
            "fax_number": "601-623-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MONTGOMERY ST STE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101118",
            "telephone_number": "769-300-5220",
            "fax_number": "601-623-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-606-2589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Polk Phillips, CRNA
• Kristen Phipps
• Emile Anthony Picarella Jr., MD
• Benjamin Pickard, DPT
• Jennifer Pierce
• Morgan C Pitts, BSN, RN
• Lisa B Poe, OTR/L
• Angela Patrice Polk
• Sydney McCary Ponder
• Meghan Page Poole, M.D.

• Pediatrics Physician in Madison, MS
• Providers in Madison, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.