Gilmore Primary Care
Gilmore Primary Care is a healthcare organization registered as Internal Medicine Physician in Amory, MS, holding Type 2 (organization) NPI 1306069612 since 2007. The authorized official on file is Chris Dedeaux, Clinic Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306069612 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gilmore Primary Care |
| Practice address | 900 EARL FRYE BLVD STE C, Amory, MS, 38821 |
| Phone | 6622566227 |
| Enumeration date | 2007-04-11 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Chris Dedeaux |
|---|---|
| Title | Clinic Administrator |
| Phone | 6622567112 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Gilmore Primary Care NPI: 1306069612 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 900 EARL FRYE BLVD STE C, Amory, MS, 38821
Verify this record
Cross-check NPI 1306069612 against the authoritative CMS record: view Gilmore Primary Care on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Gilmore Primary Care?
Who is the authorized official for Gilmore Primary Care?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.