Active NPI
Discovery Developmental Pediatrics PLLC
- Developmental - Behavioral Pediatrics Physician
- Jackson, MS
National Provider Identifier
1437908696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- DISCOVERY DEVELOPMENTAL PEDIATRICS PLLC
- Practice address
- 3000 Old Canton Rd Ste 240
Jackson, MS 39216-4235 - Phone
- (601) 255-2214
- NPI assigned
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allison Ellzey, MD
- Title
- Developmental Pediatrician
- Phone
- (601) 255-2214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | Primary |
Addresses
Primary practice location
3000 Old Canton Rd Ste 240
Jackson, MS 39216-4235
Mailing address
108 Muscadine HL
Madison, MS 39110-7608
Phone (801) 913-6623
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Kansas City, MO
- NPI 1710131297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1437908696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MUSCADINE HL",
"city": "MADISON",
"state": "MS",
"postal_code": "391107608",
"telephone_number": "801-913-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OLD CANTON RD STE 240",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164235",
"telephone_number": "601-255-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVERY DEVELOPMENTAL PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A",
"authorized_official_last_name": "ELLZEY",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "DEVELOPMENTAL PEDIATRICIAN",
"authorized_official_telephone_number": "601-255-2214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.