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Childrens Clinic of Clarksdale PA

Pediatrics Physician in Clarksdale, MS · enumerated 2006 · authorized official Carole Mangrem, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497834030

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Registry record

Entity type Organization (Type 2)
Legal business name Childrens Clinic of Clarksdale PA
Practice address 2245 N State Street, Clarksdale, MS, 38614
Phone (662) 627-4131
Fax (662) 627-2702
Enumeration date Nov 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 07191 (MS) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 07070 (MS) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License R861078 (MS) Primary

Authorized official

Name Carole Mangrem
Title Partner
Phone (662) 627-4131

Other identifiers

Identifier Type State Issuer
09013997 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Childrens Clinic of Clarksdale PA?
The NPI for Childrens Clinic of Clarksdale PA is 1497834030, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Childrens Clinic of Clarksdale PA?
NPPES lists Carole Mangrem (Partner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.