Avalon Medical LLC
NPI 1710216346 · Family Medicine Physician · Iuka, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avalon Medical LLC is a Family Medicine Physician organization in Iuka, MS (NPI 1710216346).
Provider details
- NPI number
- 1710216346
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tommy Draper, Member(662) 424-9550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-12-10
- Last updated
- 2011-10-18
Frequently asked questions
- What is Avalon Medical LLC's NPI number?
- Avalon Medical LLC's National Provider Identifier (NPI) is 1710216346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avalon Medical LLC?
- Avalon Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Avalon Medical LLC located?
- Avalon Medical LLC's practice location on file with NPPES is 1413 W Quitman St, Iuka, MS 38852-1130.
- What is Avalon Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Avalon Medical LLC is (662) 424-9550.
- Does Avalon Medical LLC accept Medicare?
- Avalon Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avalon Medical LLC?
- The authorized official listed on Avalon Medical LLC's NPPES record is Tommy Draper, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avalon Medical LLC's NPI active?
- Yes — Avalon Medical LLC's NPI (1710216346) is active in the NPPES registry as of the last update on 2011-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.