Ivan V. Zamora, M.D.
Individual provider Active NPI Family Medicine Physician · Quitman, MS
NPI 1194707513 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1194707513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 08282 (MS)
- Practice address
- 305 S Archusa Ave
Quitman, MS 39355-2325 - Phone
- (601) 776-2123
- Fax
- (601) 776-6006
- NPI assigned
- Nov 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 08282 | MS | Yes |
Addresses
Primary practice location
305 S Archusa Ave
Quitman, MS 39355-2325
Mailing address
PO Box 5166
Meridian, MS 39302-5166
Phone (601) 703-9506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730-07886 | Other | BLUE CROSS OF AL |
Other providers in Quitman, MS
- True Essence Health and Wellness PLLC
- V.I.S.a.R. Inc
- Andrew David Watson
- Nora Frances Williams
- Bonnie A. Woods
- Mary Zettler
All providers in Quitman, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.