Kid's Clinic, PLLC
NPI 1477642791ActiveOrganization· General Practice· Collinsville, MS
General Practice in Collinsville, Mississippi, registered in NPPES in October 2006. The authorized official on file is Tammy N. Henderson, M.D., Owner.
Overview
| NPI | 1477642791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Jun 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 13886 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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