Divinity Pediatric Clinic, PLLC
NPI 1629741152ActiveOrganization· Nurse Practitioner, Pediatrics· Pearl, MS
Nurse Practitioner, Pediatrics in Pearl, Mississippi, registered in NPPES in July 2021. The authorized official on file is Rekita D. McCoy, FNP, Ceo.
Overview
| NPI | 1629741152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2021 |
| Last updated in NPPES | Sep 3, 2022 |
| Certified by provider | Sep 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|