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AVALON MEDICAL LLC
NPI 1710216346
Family Medicine in Iuka, MS

Active since December 10, 2009
1413 W QUITMAN ST, IUKA, MS 38852(662) 424-9550 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avalon Medical Llc NPPES

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

AVALON MEDICAL LLC (NPI 1710216346) is a healthcare organization registered as a family medicine in Iuka, Mississippi and active in the NPI registry since December 2009. The organization lists Tommy Draper, Member, as its authorized official.

NPPES Registry Identity

NPI1710216346
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVALON MEDICAL LLC
Location Address1413 W QUITMAN STIuka, MS 38852-1130
Mailing Address1413 W Quitman StIuka, MS 38852-1130 · (662) 424-9550
Phone(662) 424-9550
Organization SubpartNo
Authorized OfficialTommy DraperMember · (662) 424-9550
Enumeration DateDecember 10, 2009
Last NPPES UpdateOctober 18, 2011
✔ NPI 1710216346 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.
1413 W QUITMAN ST, Iuka, MS 38852
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Other Identifiers 2

Medicaid04352560MS
Medicare PIN302G708807MS

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 6

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

THOMAS SUTHERLAND DRAPER M.D.
Family Medicine
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550
WELLNESS & CLINICAL SOLUTIONS LLC
Family Medicine
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550
MS. THERESA M MASSEY FNP
Nurse Practitioner (Family)
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550
MICHELLE DRAPER FNP-BC
Nurse Practitioner
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550
JENNIFER LEE DAWSON NURSE PRACTITIONER
Nurse Practitioner (Family)
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550
PAMELA THOMPSON FNP-BC
Nurse Practitioner (Family)
1413 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 424-9550

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 Avalon Medical LLC's NPI number?

The NPI number for Avalon Medical LLC is 1710216346. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Avalon Medical LLC located?

Avalon Medical LLC is located at 1413 W Quitman St, Iuka, MS 38852. The listed phone number is (662) 424-9550.

What is Avalon Medical 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 Avalon Medical LLC was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.