CHRISTINE S PEDDAPANGA DO
NPI 1104434307
Family Medicine in Vicksburg, MS
About Christine S Peddapanga Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINE S PEDDAPANGA DO (NPI 1104434307) is an individual family medicine provider in Vicksburg, Mississippi, licensed in Mississippi (31630) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Christine S Peddapanga Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Christine Peddapanga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vicksburg, MS 39183
- Reassigned Medicare billing, Mississippi enrollment
- 41 clinicians in this Medicare group
Morton, MS 39117
- Reassigned Medicare billing, Mississippi enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health River Region
Acute Care Hospitals · Vicksburg, MSS E Lackey Memorial Hospital
Critical Access Hospitals · Forest, MSOchsner Scott Regional
Critical Access Hospitals · Morton, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Christine Peddapanga's NPI number?
The NPI number for Christine Peddapanga is 1104434307. It was assigned to this individual provider in the NPPES registry on July 14, 2020.
Where is Christine Peddapanga located?
Christine Peddapanga practices at 2200 Highway 61 N Ste 2400, Vicksburg, MS 39183. The listed phone number is (601) 883-3340.
What is Christine Peddapanga's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Christine Peddapanga enrolled in Medicare?
Yes. Christine Peddapanga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Christine Peddapanga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christine Peddapanga reassigns Medicare benefits to 2 organizations: Vicksburg Clinic LLC (Vicksburg, MS) and Scott Regional Medical Center, Inc. (Morton, MS). Each 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 Christine Peddapanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christine Peddapanga accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Christine Peddapanga 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.
Is Christine Peddapanga affiliated with any hospitals?
According to CMS data, Christine Peddapanga is affiliated with Merit Health River Region, S E Lackey Memorial Hospital and Ochsner Scott Regional.
When was this NPI record last updated?
The NPPES record for Christine Peddapanga was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Christine S Peddapanga, DO · NPI 1104434307
Family Medicine physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since July 14, 2020.
## Identity
- **NPI:** 1104434307 (Entity type: Individual)
- **Enumerated:** July 14, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 31630 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 HIGHWAY 61 N STE 2400, Vicksburg, MS 39183-8246
- **Phone:** (601) 883-3340 · **Fax:** (601) 661-0984
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vicksburg Clinic LLC (NPI 1790711158, Vicksburg, MS); Scott Regional Medical Center, Inc. (NPI 1003166117, Morton, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104434307) · Data from the CMS NPPES public registry.