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CHICKASAW FMC
NPI 1710101902
Family Medicine in Okolona, MS

Active since April 12, 2007
518 WEST DR, OKOLONA, MS 38860(662) 447-2255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chickasaw Fmc NPPES

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

CHICKASAW FMC (NPI 1710101902) is a healthcare organization registered as a family medicine in Okolona, Mississippi and active in the NPI registry since April 2007. The organization lists Chris Dedeaux, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1710101902
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHICKASAW FMC
Location Address518 WEST DROkolona, MS 38860-1624
Mailing Address123 Main St NAmory, MS 38821-3416
Phone(662) 447-2255
Organization SubpartNo
Authorized OfficialChris DedeauxClinic Administrator · (622) 256-7112
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710101902 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.
518 WEST DR, Okolona, MS 38860
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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

Other Providers at the Same Location NPPES 4

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

SOUTHERN HEALTH CORP OF HOUSTON, INC.
Clinic/Center (Rural Health)
518 WEST DR
OKOLONA, MS 38860
Chickasaw County (662) 447-6170
JOY S CHAPMAN NP
Nurse Practitioner
518 WEST DR
OKOLONA, MS 38860
Chickasaw County (662) 447-6170
PROGRESSIVE HEALTH OF HOUSTON, LLC
Clinic/Center (Rural Health)
518 WEST DR
OKOLONA, MS 38860
Chickasaw County (662) 447-6170
SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Clinic/Center
518 WEST DR
OKOLONA, MS 38860
Chickasaw County (662) 447-1405

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 Chickasaw FMC's NPI number?

The NPI number for Chickasaw FMC is 1710101902. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Chickasaw FMC located?

Chickasaw FMC is located at 518 West Dr, Okolona, MS 38860. The listed phone number is (662) 447-2255.

What is Chickasaw FMC'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 Chickasaw FMC 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.