OrganizationActive
Lafayette Pediatric Clinic
NPI 1144418609 · Pediatric Adolescent Medicine Physician · Oxford, MS
Provider details
- NPI number
- 1144418609
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tanya Fitts, Owner(662) 236-3939
- License
- 17111 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2166 S Lamar Blvd
Oxford, MS 38655-5224
Phone: (662) 236-3939
Fax: (662) 236-3924
Street-level locationGet directions
Mailing address
2166 S Lamar Blvd
Oxford, MS 38655-5224
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.