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

The Children's Medical Group of Greenville, PLLC

Organization Pediatrics Physician · NPI 1174711279

The Children's Medical Group of Greenville, PLLC provides Pediatrics Physician services in Greenville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
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

559 Arnold Ave Ste A
Greenville, MS 38701-5323 Not confirmed with CMS for 18 years — call before visiting
Phone: (662) 334-9915
Fax: (662) 334-9740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18728 (MS)

Record details

NPI number1174711279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hosan Azomani — Manager · (662) 334-9915
NPI enumeratedOctober 15, 2007
Last updated in NPPESJune 1, 2008
Mailing addressPo Box 1735, Greenville, MS 38702-1735

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