Organization Active NPI

Discovery Developmental Pediatrics PLLC

  • Developmental - Behavioral Pediatrics Physician
  • Jackson, MS
National Provider Identifier
1437908696
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
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

Updated by the provider on May 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allison Ellzey, MDNPI 1710131297
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)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.