CAL-MED LLC
NPI 1417410911
Family Medicine in Vicksburg, MS
About Cal-med Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAL-MED LLC (NPI 1417410911) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since April 2019. The organization lists William Fulcher, Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cal-med Llc 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 Cal-Med LLC, 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 Cal-Med LLC's NPI number?
The NPI number for Cal-Med LLC is 1417410911. It was assigned to this organization in the NPPES registry on April 11, 2019.
Where is Cal-Med LLC located?
Cal-Med LLC is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.
What is Cal-Med LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cal-Med LLC enrolled in Medicare?
Yes. Cal-Med LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cal-Med LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cal-Med LLC. 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.
When was this NPI record last updated?
The NPPES record for Cal-Med LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cal-Med Llc · NPI 1417410911
Family Medicine organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1417410911 (Entity type: Organization)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** William Fulcher, MGR
## Practice location
- **Address:** 1901 MISSION 66, Vicksburg, MS 39180-3711
- **Phone:** (601) 636-0097
## 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:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417410911) · Data from the CMS NPPES public registry.