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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CRYSTAL N IBETOH M.D.
NPI 1487388625
Family Medicine in Philadelphia, MS

Active since July 13, 2022
1120 E MAIN ST STE 1, PHILADELPHIA, MS 39350(601) 656-1465 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Jul 13, 2022 (2 updates tracked since 2022).

About Dr. Crystal N Ibetoh M.d. NPPES

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

DR. CRYSTAL N IBETOH M.D. (NPI 1487388625) is an individual family medicine provider in Philadelphia, Mississippi, licensed in Mississippi (37607) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1487388625
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CRYSTAL N IBETOHCredential: M.D.
Location Address1120 E MAIN ST STE 1Philadelphia, MS 39350-2300
Mailing Address1120 E Main St Ste 1Philadelphia, MS 39350-2300 · (601) 656-1465
Phone(601) 656-1465
Sole ProprietorNo
Enumeration DateJuly 13, 2022
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1487388625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 37607
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 E MAIN ST STE 1, Philadelphia, MS 39350
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBY SWEDE PHUNG MD
Family Medicine
1120 E MAIN ST STE 1
PHILADELPHIA, MS 39350
Neshoba County (601) 656-1465

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 Crystal Ibetoh's NPI number?

The NPI number for Crystal Ibetoh is 1487388625. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Crystal Ibetoh located?

Crystal Ibetoh practices at 1120 E Main St Ste 1, Philadelphia, MS 39350. The listed phone number is (601) 656-1465.

What is Crystal Ibetoh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crystal Ibetoh was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.