CENTRAL MISSISSIPPI MEDICAL CLINIC PLLC
NPI 1316813868
Internal Medicine in Vicksburg, MS
About Central Mississippi Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MISSISSIPPI MEDICAL CLINIC PLLC (NPI 1316813868) is a healthcare organization registered as an internal medicine in Vicksburg, Mississippi and active in the NPI registry since October 2025. The organization lists Joseph Walker Blackston, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Central Mississippi Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Mississippi Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Central Mississippi Medical Clinic PLLC's NPI number?
The NPI number for Central Mississippi Medical Clinic PLLC is 1316813868. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Central Mississippi Medical Clinic PLLC located?
Central Mississippi Medical Clinic PLLC is located at 2200 Highway 61 N Ste 2100, Vicksburg, MS 39183. The listed phone number is (601) 955-3223.
What is Central Mississippi Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Central Mississippi Medical Clinic PLLC enrolled in Medicare?
Yes. Central Mississippi Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Mississippi Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Central Mississippi Medical Clinic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Central Mississippi Medical Clinic PLLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Central Mississippi Medical Clinic PLLC 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 Central Mississippi Medical Clinic PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Central Mississippi Medical Clinic Pllc · NPI 1316813868
Internal Medicine organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1316813868 (Entity type: Organization)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Joseph Blackston, OWNER
## Practice location
- **Address:** 2200 HIGHWAY 61 N STE 2100, Vicksburg, MS 39183-8246
- **Phone:** (601) 955-3223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316813868) · Data from the CMS NPPES public registry.