Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivancic Pediatric Clinic PA

Organization Primary Care Clinic/Center · NPI 1942606256

Ivancic Pediatric Clinic PA is a Primary Care Clinic/Center in Tupelo, Mississippi. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

499 Gloster Creek Vlg Ste H-3
Tupelo, MS 38801-4600
Phone: (662) 840-6026
Fax: (662) 840-6030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1942606256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitzi Parsons — Office Manager · (662) 840-6026
NPI enumeratedNovember 13, 2014
Last updated in NPPESJanuary 23, 2019
Mailing address499 Gloster Creek Vlg, Suite H-3, Tupelo, MS 38801-4600

Other providers in Tupelo