The Children's Clinic of West Tennessee P.A.
NPI 1942469606ActiveOrganization· Pediatrics· Jackson, TN
Pediatrics in Jackson, Tennessee, registered in NPPES in June 2008. The authorized official on file is David Leslie Self, M.D., Partner.
Overview
| NPI | 1942469606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2008 |
| Last updated in NPPES | Jun 6, 2008 |
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 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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