Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700867074 Individual Practitioner Male Practitioner

Dr. Raphael A Buckle , MD

Pediatrics • Amory, MS

Professional Overview & Biography Verified Profile Summary

Dr. Raphael Buckle, MD is a registered healthcare professional specializing in Pediatrics in Amory, MS. Practice services are available at 900 EARL FRYE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Earl Frye Blvd
Suite A

Amory, MS 388215507

Telephone 6622569331
Fax 6622569335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Amory, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Amory, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 20416

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Allergy & Immunology

NUCC Taxonomy Code: 207K00000X

State License GA 56408

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 56408

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06304211 (MS)
Medicaid State Provider ID
262717777A (GA)
Commercial Insurance / Payer ID Legacy#
37BBHBH
Commercial Insurance / Payer ID Org Npi
1184881229 (GA)
Commercial Insurance / Payer ID Npi
1700867074
Commercial Insurance / Payer ID Group#
GRP7462

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Amy Bailey

Nurse Practitioner - Family

NPI 1003161373
Dr. Pamela Lacy , MD

Obstetrics & Gynecology

NPI 1013068469

Doctor of Medicine (M.D.)

Dr. Stephen Otey , MD

Obstetrics & Gynecology

NPI 1104977560

Doctor of Medicine (M.D.)

Rita Hargett , FNP

Nurse Practitioner - Family

NPI 1154351864

Family Nurse Practitioner

Stacey Nix , CFNP

Nurse Practitioner

NPI 1154598357
Dr. Vanessa Miller , MD

Obstetrics & Gynecology

NPI 1255351995

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2010

Registered at 900 EARL FRYE BLVD, SUITE A, AMORY, MS 388215507 (Tel: 6622569331)

📍
Updated Business Mailing Address March 02, 2010

Registered at 900 EARL FRYE BLVD, SUITE A, AMORY, MS 388215507 (Tel: 6622569331)

👤
Provider Name / Credentials Updated March 02, 2010

Recorded as RAPHAEL BUCKLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2010

Allergy & Immunology (License #56408 in GA)

🟢
Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700867074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: March 02, 2010
Sole Proprietor: No

Mailing Address

900 Earl Frye Blvd, Suite A

Amory, MS 388215507

Phone: 6622569331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.