IMPACTING LIVES LLC
NPI 1063370831
Clinic/Center - Primary Care in Oxford, MS

Active since January 12, 2026
2304 JACKSON AVE W STE 101, OXFORD, MS 38655(662) 404-7177(662) 769-3839 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Impacting Lives Llc NPPES

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

IMPACTING LIVES LLC (NPI 1063370831) is a healthcare organization registered as a primary care in Oxford, Mississippi and active in the NPI registry since January 2026. The organization lists Melissa Jean Vinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063370831
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMPACTING LIVES LLC
Location Address2304 JACKSON AVE W STE 101Oxford, MS 38655-5624
Mailing Address2304 Jackson Ave W Ste 101Oxford, MS 38655-5624 · (662) 404-7177 · Fax (662) 796-3839
Fax(662) 769-3839
Organization SubpartNo
Authorized OfficialMelissa Jean VinsonOwner · (662) 404-7177
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1063370831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2304 JACKSON AVE W STE 101, Oxford, MS 38655

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2304 JACKSON AVE W STE 101
OXFORD, MS 38655
General Practice
2304 JACKSON AVE W STE 101
OXFORD, MS 38655

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 Impacting Lives LLC's NPI number?

The NPI number for Impacting Lives LLC is 1063370831. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Impacting Lives LLC located?

Impacting Lives LLC is located at 2304 Jackson Ave W Ste 101, Oxford, MS 38655. The listed phone number is (662) 404-7177.

What is Impacting Lives LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Impacting Lives LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.