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

Individual provider Orthotist · NPI 1497126775

Damon Bagley-Ayres, CPO is an Orthotist in Jackson, Mississippi. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

777 Lakeland Dr
Jackson, MS 39216-4611
Phone: (601) 815-4844
Fax: (601) 815-4592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1497126775
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedOctober 13, 2015
Last updated in NPPESJune 9, 2016

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