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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTINE S PEDDAPANGA DO
NPI 1104434307
Family Medicine in Vicksburg, MS

Active since July 14, 2020PECOS EnrolledAccepts Medicare Assignment
2200 HIGHWAY 61 N STE 2400, VICKSBURG, MS 39183(601) 883-3340(601) 661-0984 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2023, Jul 16, 2020 (2 updates tracked since 2020).

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 S E Lackey Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104434307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHRISTINE S PEDDAPANGACredential: DO
Location Address2200 HIGHWAY 61 N STE 2400Vicksburg, MS 39183-8246
Mailing AddressPo Box 5392Meridian, MS 39302-5392 · (601) 703-9407 · Fax (601) 703-9283
Phone(601) 883-3340
Fax(601) 661-0984
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 14, 2020
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1104434307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 31630
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2200 HIGHWAY 61 N STE 2400, Vicksburg, MS 39183
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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 from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8628423811
PECOS Enrollment IDI20231007000569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

S E Lackey Memorial Hospital

Critical Access Hospitals · Forest, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251300
Location330 N Broad StreetForest, MS 39074 · Scott County
Emergency services

Ochsner Scott Regional

Critical Access Hospitals · Morton, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251323
Location317 Highway 13 SouthMorton, MS 39117 · Scott County
Emergency services

Physician 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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Christine Peddapanga accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 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 45 days 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.