DMC II Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13912 Issued in MS

Legal business name

DMC II INC

Doing business as

Allegro Family Clinic of North Columbus

Practice address

4508 Highway 45 N
Columbus, MS 39705-2917

Phone

(662) 328-9702

Fax

(662) 328-0954

NPI assigned

Nov 9, 2017

Organization subpart

Yes

Parent organization

DUTCH HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Joseph Gillis

Title

Owner

Phone

(662) 327-5202

Specialties & licenses 3

Addresses

Other names 1

• Allegro Family Clinic of North Columbus Doing business as

Locations

Practitioners 1

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

• Tacy Grant, FNP-C

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1396306957
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1871006155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052917",
            "telephone_number": "662-328-9702",
            "fax_number": "662-328-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC II INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUTCH HEALTH SERVICES, INC.",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-5202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13912",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "06164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "876972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegro Family Clinic of North Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Dendy, MSW
• Connor James Denison, DDS
• Abbey Johnson Dichiara, NP
• Elizabeth McTaggart Dimino, NP
• DMC II Inc (Allegro Family Clinic of East Columbus)
• Mercades Dooley
• John S Dornan, NP
• Heather L. Dorrance
• Megan Dowdle, PT
• Sondra R Dowdle, LPC

• Family Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.