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AMORY PEDIATRIC
NPI 1902020639
Pediatrics in Amory, MS

Active since April 12, 2007
1107 EARL FRYE BLVD STE 5, AMORY, MS 38821(662) 257-6705 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amory Pediatric NPPES

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

AMORY PEDIATRIC (NPI 1902020639) is a healthcare organization registered as a pediatrics in Amory, Mississippi and active in the NPI registry since April 2007. The organization lists Chris Dedeaux, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1902020639
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAMORY PEDIATRIC
Location Address1107 EARL FRYE BLVD STE 5Amory, MS 38821-5519
Mailing Address123 Main St NAmory, MS 38821-3416
Phone(662) 257-6705
Organization SubpartNo
Authorized OfficialChris DedeauxClinic Administrator · (662) 256-7112
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902020639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1107 EARL FRYE BLVD STE 5, Amory, MS 38821
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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

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

NORTH MISSISSIPPI GILMORE CLINICS, LLC
Pediatrics
1107 EARL FRYE BLVD STE 5
AMORY, MS 38821
Monroe County (662) 257-6705

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 Amory Pediatric's NPI number?

The NPI number for Amory Pediatric is 1902020639. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Amory Pediatric located?

Amory Pediatric is located at 1107 Earl Frye Blvd Ste 5, Amory, MS 38821. The listed phone number is (662) 257-6705.

What is Amory Pediatric's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Amory Pediatric 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.