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

ROBERT C MASTERSON DO PA INC
NPI 1427112630
Family Medicine in Vicksburg, MS

Active since December 21, 2006
1901 MISSION 66, VICKSBURG, MS 39180(601) 636-0097(601) 629-9969 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert C Masterson Do Pa Inc NPPES

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

ROBERT C MASTERSON DO PA INC (NPI 1427112630) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since December 2006. The organization lists Robert C Masterson, President, as its authorized official.

NPPES Registry Identity

NPI1427112630
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT C MASTERSON DO PA INC
Location Address1901 MISSION 66Vicksburg, MS 39180-3711
Mailing Address1901 Mission 66Vicksburg, MS 39180-3711 · (601) 636-0097 · Fax (601) 629-9969
Phone(601) 636-0097
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialRobert C MastersonPresident · (601) 636-0097
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1427112630 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 · 14322
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.
1901 MISSION 66, Vicksburg, MS 39180
Open in Google Maps ↗

Other Identifiers 3

Medicaid00115208MS
Medicare UPINF82099MS
Medicare PINC03133MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD SAMARITAN PHYSICAL THERAPY,INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076
DR. ROBERT C MASTERSON DO
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-8244
CARLOS ALBERTO LATORRE M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
ROBERT M CANNON MD LLC
Clinic/Center (Primary Care)
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
FLOWERS MEDICAL GROUP LLC
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
JOHN R BARNES MD
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
DR. ROBERT MICHAEL CANNON M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
HOLLY PITTMAN OT
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076

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 Robert C Masterson Do PA Inc's NPI number?

The NPI number for Robert C Masterson Do PA Inc is 1427112630. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Robert C Masterson Do PA Inc located?

Robert C Masterson Do PA Inc is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.

What is Robert C Masterson Do PA Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Robert C Masterson Do PA Inc 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 1 other insurer list Robert C Masterson Do PA Inc 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 Robert C Masterson Do PA Inc was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.