JOHN T CHMELICEK MD
NPI 1669488490
Family Medicine in Purvis, MS

Q: What is John Chmelicek's NPI number?

The NPI number for John Chmelicek is 1669488490. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is John Chmelicek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Chmelicek was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 01, 2006

102 SHELBY SPEIGHTS DR, PURVIS, MS 39475(601) 794-8065(601) 794-5650 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About John T Chmelicek Md NPPES

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

JOHN T CHMELICEK MD (NPI 1669488490) is an individual family medicine provider in Purvis, Mississippi, licensed in Mississippi (13049) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1669488490

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN T CHMELICEKCredential: MD

Location Address102 SHELBY SPEIGHTS DRPurvis, MS 39475-4151

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 794-8065 · Fax (601) 794-5650

Phone(601) 794-8065

Fax(601) 794-5650

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateApril 8, 2008

✔ NPI 1669488490 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 · 13049

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.

102 SHELBY SPEIGHTS DR, Purvis, MS 39475

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF36923

Medicaid1677841LA

Other1558928MS · American Admin Group

Medicaid00110831MS

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.

ANUTIDA CHAROENTONG

Internal Medicine