LIFE TRANSFORMATION MEDICAL CENTER LLC
NPI 1558728469
Family Medicine in Amory, MS

Active since January 22, 2016
806 EARL FRYE BLVD, AMORY, MS 38821(662) 597-9000(662) 257-2083 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2017, Nov 21, 2017, Feb 25, 2016 and 1 more (4 updates tracked since 2016).

About Life Transformation Medical Center Llc NPPES

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

LIFE TRANSFORMATION MEDICAL CENTER LLC (NPI 1558728469) is a healthcare organization registered as a family medicine in Amory, Mississippi and active in the NPI registry since January 2016. The organization lists Crissy Harmon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558728469
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFE TRANSFORMATION MEDICAL CENTER LLC
Location Address806 EARL FRYE BLVDAmory, MS 38821-5505
Mailing Address806 Earl Frye BlvdAmory, MS 38821-5505 · (662) 597-9000 · Fax (662) 257-2083
Fax(662) 257-2083
Organization SubpartNo
Authorized OfficialCrissy HarmonOffice Manager · (662) 597-9000
Enumeration DateJanuary 22, 2016
Last NPPES UpdateDecember 14, 20174 updates tracked since enumeration
NPI 1558728469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

806 EARL FRYE BLVD, Amory, MS 38821

Other Identifiers 1

Medicaid07227565MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Surgery
806 EARL FRYE BLVD
AMORY, MS 38821
Family Medicine
806 EARL FRYE BLVD
AMORY, MS 38821
Clinic/Center (Rural Health)
806 EARL FRYE BLVD
AMORY, MS 38821
Surgery
806 EARL FRYE BLVD
AMORY, MS 38821
Nurse Practitioner (Family)
806 EARL FRYE BLVD
AMORY, MS 38821
Nurse Practitioner
806 EARL FRYE BLVD
AMORY, MS 38821

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 Life Transformation Medical Center LLC's NPI number?

The NPI number for Life Transformation Medical Center LLC is 1558728469. It was assigned to this organization in the NPPES registry on January 22, 2016.

Where is Life Transformation Medical Center LLC located?

Life Transformation Medical Center LLC is located at 806 Earl Frye Blvd, Amory, MS 38821. The listed phone number is (662) 597-9000.

What is Life Transformation Medical Center LLC'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 Life Transformation Medical Center LLC was last updated on December 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.