DIVINITY PEDIATRIC CLINIC, PLLC
DIVINITY PEDIATRIC CLINIC, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629741152, based in Pearl, MS. The organization lists 2 taxonomy classifications, with Pediatric Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 200 RIVERWIND DR STE 104, Pearl, MS 39208. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — | |
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629741152 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 29, 2021 |
| Last updated | Sep 3, 2022 |
| Status | Active |
| Practice address |
200 RIVERWIND DR STE 104 Pearl, MS 39208 (601) 345-4044 Fax (601) 510-9334 |
| Mailing address |
463 MAGNOLIA PL Brandon, MS 39042 |
| Other identifiers |
1629741152
· Medicaid (MS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 7 | 4 | 1 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 5 | 4 | 2 | 1 | 1 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.