1. Home
  2. Directory
  3. Mississippi
  4. Vicksburg
  5. Family Medicine
  6. NPI Profile

WEST MISSISSIPPI MEDICAL SERVICES
NPI 1215451794
Family Medicine - Addiction Medicine in Vicksburg, MS

Active since July 27, 2017
100 MCAULEY DR, VICKSBURG, MS 39183(601) 883-3532 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Mississippi Medical Services NPPES

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

WEST MISSISSIPPI MEDICAL SERVICES (NPI 1215451794) is a healthcare organization registered as an addiction medicine in Vicksburg, Mississippi and active in the NPI registry since July 2017. The organization lists Stanley R Easterling, Owner, as its authorized official.

NPPES Registry Identity

NPI1215451794
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameWEST MISSISSIPPI MEDICAL SERVICES
Location Address100 MCAULEY DRVicksburg, MS 39183-2825
Mailing Address607 Tiffintown RdVicksburg, MS 39183-1503 · (601) 636-8184
Phone(601) 883-3532
Organization SubpartNo
Authorized OfficialStanley R EasterlingOwner · (601) 636-8184
Enumeration DateJuly 27, 2017
✔ NPI 1215451794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in MS · 10687
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
100 MCAULEY DR, Vicksburg, MS 39183
Open in Google Maps ↗

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 Molina Healthcare.Insurance ›

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 West Mississippi Medical Services's NPI number?

The NPI number for West Mississippi Medical Services is 1215451794. It was assigned to this organization in the NPPES registry on July 27, 2017.

Where is West Mississippi Medical Services located?

West Mississippi Medical Services is located at 100 Mcauley Dr, Vicksburg, MS 39183. The listed phone number is (601) 883-3532.

What is West Mississippi Medical Services's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does West Mississippi Medical Services accept?

Health plans from Molina Healthcare list West Mississippi Medical Services 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 West Mississippi Medical Services was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.