AMORY HMA PHYSICIAN MGMT LLC — NPI 1609090802 (Board-Certified Anesthesiologist & Interventional Pain Specialist in AMORY, MS)

CMS-1500 Box 24J / 33a • NPI

1609090802

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207LP3000X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

1105 EARL FRYE BLVD, AMORY, MS, 38821-5500

✓ 9-Digit EDI 837 ZIP+4 (38821-5500)

Practice Phone & Referral Fax

(662) 257-6771

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609090802 (AMORY HMA PHYSICIAN MGMT LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1609090802` (NPI-2 Organization / Facility)
Provider / Legal Name	AMORY HMA PHYSICIAN MGMT LLC
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207LP3000X` (Anesthesiology, Pediatric Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	1105 EARL FRYE BLVD, AMORY, MS, 38821-5500
Practice Telephone / Fax	Tel: (662) 257-6771
Administrative Mailing Address	123 MAIN ST N, AMORY, MS, 38821-3416
Enumeration & Last Sync	Enumerated: 2007-04-12 \| CMS Record Updated: 2011-01-12
Authorized Official	KATHY LINLEY (Clinic Admin Assistant)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1105 EARL FRYE BLVD, AMORY, MS, 38821-5500

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Plain-English Taxonomy & CMS Crosswalk (207LP3000X)

What Does Taxonomy Code 207LP3000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207LP3000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMORY HMA PHYSICIAN MGMT LLC)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: N/A \| License: `Verified` \| Primary: Secondary
`207LP3000X` — Anesthesiology, Pediatric Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMORY HMA PHYSICIAN MGMT LLC (NPI #1609090802)