Amory Pediatric
Amory Pediatric is a healthcare organization registered as Pediatrics Physician in Amory, MS, holding Type 2 (organization) NPI 1902020639 since 2007. The authorized official on file is Chris Dedeaux, Clinic Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902020639 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Amory Pediatric |
| Practice address | 1107 EARL FRYE BLVD STE 5, Amory, MS, 38821 |
| Phone | 6622576705 |
| Enumeration date | 2007-04-12 |
| 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 |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Copy-ready billing details
Provider: Amory Pediatric NPI: 1902020639 Taxonomy: 208000000X (Pediatrics Physician) Address: 1107 EARL FRYE BLVD STE 5, Amory, MS, 38821
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972067288 | North Mississippi Gilmore Clinics, LLC | Organization | Pediatrics Physician | Amory, MS |
Verify this record
Cross-check NPI 1902020639 against the authoritative CMS record: view Amory Pediatric 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
Who is the authorized official for Amory Pediatric?
What is the NPI number for Amory Pediatric?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.