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

Memphis Children's Clinic, PLLC

Organization Pediatrics Physician · NPI 1649450909

Memphis Children's Clinic, PLLC provides Pediatrics Physician services in Olive Branch, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9860 Goodman Rd
Olive Branch, MS 38654-1722 Not confirmed with CMS for 18 years — call before visiting
Phone: (662) 890-0158
Fax: (662) 890-8615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1649450909
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemphis Children's Clinic, PLLC
Authorized official Connie Purifoy — Assist. Operations Manager · (901) 396-0390
NPI enumeratedNovember 5, 2007
Last updated in NPPESNovember 5, 2007
Mailing address1129 Hale Rd, Memphis, TN 38116-6373

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