Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Capital City Children and Adolescent Clinic

Organization Pediatrics Physician · NPI 1912088790

Capital City Children and Adolescent Clinic provides Pediatrics Physician services in Jackson, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2679 Crane Ridge Dr Ste F
Jackson, MS 39216-4997
Phone: (601) 362-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1912088790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geraldine Chaney — Owner · (601) 362-7476
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2679 Crane Ridge Dr, Ste F, Jackson, MS 39216-4997

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