Active NPI
The Children'S Medical Group
- Pediatrics Physician
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18728
- Legal business name
- THE CHILDREN'S MEDICAL GROUP
- Practice address
- 1421 E Peace St
Canton, MS 39046-4938 - Phone
- (601) 859-5955
- NPI assigned
- Jun 5, 2008
- Organization subpart
- Yes
- Parent organization
- THE CHILDREN'S MEDICAL GROUP OF GREENVILLE PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hosan Menanya Azomani, MD
- Title
- Manager
- Phone
- (662) 334-9915
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18728 | MS | Primary |
Addresses
Primary practice location
1421 E Peace St
Canton, MS 39046-4938
Mailing address
PO Box 1735
Greenville, MS 38702-1735
Phone (662) 334-9915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02933236 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- The Children'S Medical Group
- Part of
- The Children'S Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Greenville, MS
- NPI 1174711279
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pediatrics Physician
- Greenville, MS
- NPI 1174711279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1629237656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1735",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387021735",
"telephone_number": "662-334-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E PEACE ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390464938",
"telephone_number": "601-859-5955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDREN'S MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE CHILDREN'S MEDICAL GROUP OF GREENVILLE PLLC",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "AZOMANI",
"authorized_official_first_name": "HOSAN",
"authorized_official_middle_name": "MENANYA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "662-334-9915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MS",
"license": "18728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02933236",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.