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VICKSBURG NEPHROLOGY LLC
NPI 1013337658
Internal Medicine - Nephrology in Vicksburg, MS

Active since April 22, 2014
104 MCAULEY DR, VICKSBURG, MS 39183(601) 738-5549(601) 630-9120 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vicksburg Nephrology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKSBURG NEPHROLOGY LLC (NPI 1013337658) is a healthcare organization registered as a nephrology in Vicksburg, Mississippi and active in the NPI registry since April 2014. The organization lists Michael L Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1013337658
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameVICKSBURG NEPHROLOGY LLC
Location Address104 MCAULEY DRVicksburg, MS 39183-2825
Mailing AddressPo Box 820663Vicksburg, MS 39182-0663 · (601) 738-5549 · Fax (601) 630-9120
Phone(601) 738-5549
Fax(601) 630-9120
Organization SubpartNo
Authorized OfficialMichael L DavisOwner · (601) 738-5549
Enumeration DateApril 22, 2014
✔ NPI 1013337658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
104 MCAULEY DR, Vicksburg, MS 39183
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vicksburg Nephrology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Vicksburg Nephrology LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dawinder Sohal
Nephrology
NPI 1962411215
1202 MISSION PARK DR
Vicksburg, MS 39180
(601) 738-5549
✔ PECOS✔ Accepts Medicare0.7 mi
Raman Sohal
Internal Medicine
NPI 1164918058
1202 MISSION PARK DR
Vicksburg, MS 39180
(601) 738-5549
✔ PECOS✔ Accepts Medicare0.7 mi
Michael Davis, MD
Nephrology
NPI 1033147442
2100 HIGHWAY 61 N
Vicksburg, MS 39183
(601) 630-9755
✔ PECOS2.6 mi
Xander Buenafe, M.D.
Nephrology
NPI 1598916256
411 E MARKET ST
Akron, OH 44304
(330) 252-0600
✔ PECOS794 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicksburg Nephrology LLC's NPI number?

The NPI number for Vicksburg Nephrology LLC is 1013337658. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is Vicksburg Nephrology LLC located?

Vicksburg Nephrology LLC is located at 104 Mcauley Dr, Vicksburg, MS 39183. The listed phone number is (601) 738-5549.

What is Vicksburg Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Vicksburg Nephrology LLC enrolled in Medicare?

Yes. Vicksburg Nephrology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vicksburg Nephrology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Vicksburg Nephrology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vicksburg Nephrology LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Vicksburg Nephrology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vicksburg Nephrology LLC was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.