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GILMORE PRIMARY CARE
NPI 1306069612
Internal Medicine in Amory, MS

Active since April 11, 2007
900 EARL FRYE BLVD STE C, AMORY, MS 38821(662) 256-6227 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gilmore Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILMORE PRIMARY CARE (NPI 1306069612) is a healthcare organization registered as an internal medicine in Amory, Mississippi and active in the NPI registry since April 2007. The organization lists Chris Dedeaux, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1306069612
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGILMORE PRIMARY CARE
Location Address900 EARL FRYE BLVD STE CAmory, MS 38821-5507
Mailing Address123 Main St NAmory, MS 38821-3416
Phone(662) 256-6227
Organization SubpartNo
Authorized OfficialChris DedeauxClinic Administrator · (662) 256-7112
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306069612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 EARL FRYE BLVD STE C, Amory, MS 38821
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilmore Primary Care's NPI number?

The NPI number for Gilmore Primary Care is 1306069612. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Gilmore Primary Care located?

Gilmore Primary Care is located at 900 Earl Frye Blvd Ste C, Amory, MS 38821. The listed phone number is (662) 256-6227.

What is Gilmore Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gilmore Primary Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.