Cleveland Children's Clinic, PLLC
NPI 1780460642ActiveOrganization· Pediatrics· Greenville, MS
Pediatrics in Greenville, Mississippi, registered in NPPES in September 2023. The authorized official on file is Jose Brevil, EDD, Executive Director.
Overview
| NPI | 1780460642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2023 |
| Last updated in NPPES | Oct 19, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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