OrganizationActive
Gilmore Primary Care
NPI 1306069612 · Internal Medicine Physician · Amory, MS
Gilmore Primary Care is a Internal Medicine Physician organization in Amory, MS (NPI 1306069612).
Provider details
- NPI number
- 1306069612
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Dedeaux, Clinic Administrator(662) 256-7112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
900 Earl Frye Blvd Ste C
Amory, MS 38821-5507
Phone: (662) 256-6227
Street-level locationGet directions
Mailing address
123 Main St N
Amory, MS 38821-3416
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gilmore Primary Care's NPI number?
- Gilmore Primary Care's National Provider Identifier (NPI) is 1306069612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gilmore Primary Care?
- Gilmore Primary Care is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gilmore Primary Care located?
- Gilmore Primary Care's practice location on file with NPPES is 900 Earl Frye Blvd Ste C, Amory, MS 38821-5507.
- What is Gilmore Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Gilmore Primary Care is (662) 256-6227.
- Who is the authorized official for Gilmore Primary Care?
- The authorized official listed on Gilmore Primary Care's NPPES record is Chris Dedeaux, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gilmore Primary Care's NPI active?
- Yes — Gilmore Primary Care's NPI (1306069612) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.