Nurse Practitioner, Pediatrics
DIVINITY PEDIATRIC CLINIC, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629741152 · enumerated 2021-07-29 · record updated 2022-09-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: REKITA MCCOY FNP, CEO · (601) 345-4044
Addresses and phones
- Practice location 200 RIVERWIND DR STE 104, PEARL, MS, 39208-5652 (601) 345-4044 Fax (601) 510-9334 Google Maps Apple Maps OpenStreetMap
- Mailing address 463 MAGNOLIA PL, BRANDON, MS, 39042-8482 (601) 934-2603 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center, Primary Care 261QP2300X
- Nurse Practitioner, Pediatrics 363LP0200X · Primary
In this directory
Locations and evidence
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Practice location
PEARL, MS, 392085652
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.