Kids Clinic of Paris, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

KIDS CLINIC OF PARIS, LLC

Practice address

345 Stone Ave
Paris, TX 75460-9309

Phone

(903) 280-7716

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Josh Craig

Title

Managing Partner

Phone

(903) 280-7716

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Rural health clinic certification: CCN 673958

Legal name

KIDS CLINIC OF PARIS, LLC

Doing business as

CBC FAMILY HOLDINGS LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 27, 2021

Last certification

Feb 27, 2024

Ownership / control type

1C

Organization structure

LLCProprietary

Incorporated

Jul 26, 2018 in TX

Enrollment address

345 Stone Ave
Paris, TX 75460-9309

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19608/brand/1/csg/1/fhir/r4

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Jillian Ross, NP

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1255227641
  NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1699383604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609309",
            "telephone_number": "903-280-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609309",
            "telephone_number": "903-280-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLINIC OF PARIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-280-7716"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josh.craig@kidsclinicparis.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Kids Clinic of Paris, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "345 Stone Ave",
            "city": "Paris",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754609309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clifton Wayne Kerby, D.D.S.
• Ghana S Khadka, DO
• Khalid Shafiq, M.D. , P.a.
• Kidney Disease and Dialysis Associates, PA
• Kids Clinic of Paris LLC
• Terry Lynn Kilgore, M.D.
• King Vision of Tyler LLC
• Christopher Kirby
• Don Kirkpatrick
• Ladonna Sue Koehn

• Rural Health Clinic/Center in Paris, TX
• Providers in Paris, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.