OrganizationActive
Chickasaw Fmc
NPI 1710101902 · Family Medicine Physician · Okolona, MS
Chickasaw Fmc is a Family Medicine Physician organization in Okolona, MS (NPI 1710101902).
Provider details
- NPI number
- 1710101902
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Dedeaux, Clinic Administrator(622) 256-7112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
518 West Dr
Okolona, MS 38860-1624
Phone: (662) 447-2255
Street-level locationGet directions
Mailing address
123 Main St N
Amory, MS 38821-3416
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Chickasaw Fmc's NPI number?
- Chickasaw Fmc's National Provider Identifier (NPI) is 1710101902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chickasaw Fmc?
- Chickasaw Fmc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Chickasaw Fmc located?
- Chickasaw Fmc's practice location on file with NPPES is 518 West Dr, Okolona, MS 38860-1624.
- What is Chickasaw Fmc's phone number?
- The practice phone number listed in the NPPES registry for Chickasaw Fmc is (662) 447-2255.
- Who is the authorized official for Chickasaw Fmc?
- The authorized official listed on Chickasaw Fmc'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 Chickasaw Fmc's NPI active?
- Yes — Chickasaw Fmc's NPI (1710101902) 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.