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MEDICAL ASSOCIATES OF VICKSBURG
NPI 1437416351
Family Medicine in Jackson, MS

Active since April 17, 2012CLIA 25D1086495 · Certificate of Compliance
1860 CHADWICK DR, JACKSON, MS 39204(601) 262-1000(601) 262-1009 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Associates Of Vicksburg NPPES

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

MEDICAL ASSOCIATES OF VICKSBURG (NPI 1437416351) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since April 2012. The organization holds a CLIA Certificate of Compliance certificate valid through January 7, 2027 and lists Michael L Gingras, Vice President, as its authorized official.

NPPES Registry Identity

NPI1437416351
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVICKSBURG HMA PHYSICIAN MANAGEMENT LLC
Location Address1860 CHADWICK DRJackson, MS 39204-3463
Mailing Address5811 Pelican Bay Blvd, Suite 500Naples, FL 34108-2733 · (239) 598-3131 · Fax (239) 592-0438
Phone(601) 262-1000
Fax(601) 262-1009
Organization SubpartYesParent: Health Management Associates, Inc.
Authorized OfficialMichael L GingrasVice President · (239) 598-3131
Enumeration DateApril 17, 2012
Last NPPES UpdateNovember 27, 2012
✔ NPI 1437416351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1860 CHADWICK DR, Jackson, MS 39204
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Other Names 1

Doing Business AsMedical Associates Of Vicksburg

Other Identifiers 1

Medicare PIN512G700241MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D1086495

Medical Associates Of Vicksburg · Vicksburg, MS
Active · expires Jan 7, 2027
CLIA Number25D1086495
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorDr. Michael L. Cannon
Laboratory Phone(601) 262-1000
Laboratory LocationMedical Associates Of Vicksburg2080 S Frontage Rd Ste 100, Vicksburg, MS 39180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

JACKSON RADIOLOGY ASSOC, PA
Radiology (Diagnostic Radiology)
1860 CHADWICK DR, STE 204
JACKSON, MS 39204
Hinds County (601) 373-6441
CENTRAL MS ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1860 CHADWICK DR, SUITE 201
JACKSON, MS 39204
Hinds County (601) 376-1208
KEVIN L GALLOWAY, DO PLLC
Obstetrics & Gynecology (Obstetrics)
1860 CHADWICK DR, 300
JACKSON, MS 39204
Hinds County (601) 376-2999
DR. KEVIN L GALLOWAY V DO
Obstetrics & Gynecology
1860 CHADWICK DR, SUITE 300
JACKSON, MS 39204
Hinds County (601) 376-2999
CENTRAL MS PEDIATRIC ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1860 CHADWICK DR, SUITE 206
JACKSON, MS 39204
Hinds County (601) 376-1517
PODIATRY ASSOCIATES OF CENTRAL MISSISSIPPI
Podiatrist
1860 CHADWICK DR, SUITE 106
JACKSON, MS 39204
Hinds County (601) 376-2963
RIVER OAKS MANAGEMENT COMPANY INC
Orthopaedic Surgery
1860 CHADWICK DR, SUITE 105
JACKSON, MS 39204
Hinds County (601) 376-2818
RIVER OAKS MANAGEMENT COMPANY, LLC
Internal Medicine (Infectious Disease)
1860 CHADWICK DR, SUITE 104
JACKSON, MS 39204
Hinds County (601) 376-1193

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 Vicksburg Hma Physician Management LLC's NPI number?

The NPI number for Vicksburg Hma Physician Management LLC is 1437416351. It was assigned to this organization in the NPPES registry on April 17, 2012. The provider is doing business as Medical Associates Of Vicksburg.

Where is Vicksburg Hma Physician Management LLC located?

Vicksburg Hma Physician Management LLC is located at 1860 Chadwick Dr, Jackson, MS 39204. The listed phone number is (601) 262-1000.

What is Vicksburg Hma Physician Management LLC's specialty?

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

Does Vicksburg Hma Physician Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1086495) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vicksburg Hma Physician Management LLC was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.