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P&s Primary Care, PLLC

NPI 1245872514ActiveOrganization· Pediatrics· Amory, MS

Pediatrics in Amory, Mississippi, registered in NPPES in October 2019, part of P & S Clinic OB-GYN. The authorized official on file is Timothy Wayne Boden, CMPE, Executive Director.

Overview

NPI1245872514
StatusActive
Entity typeOrganization (subpart)
Parent organizationP & S Clinic OB-GYN
NPI issuedOct 8, 2019
Last updated in NPPESOct 8, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X——
Internal Medicine207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pediatrics providers in Amory

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