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MEDICAL ASSOCIATES OF VICKSBURG
NPI 1497188460
Nurse Practitioner - Family in Vicksburg, MS

Active since August 14, 2013
2080 S FRONTAGE RD, STE 100, VICKSBURG, MS 39180(601) 262-1000(601) 262-1211 Get Directions Write a Review

NPPES record last updated: August 14, 2013. 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 1497188460) is a healthcare organization registered as a family in Vicksburg, Mississippi and active in the NPI registry since August 2013. The organization lists John H Moore, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1497188460
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVICKSBURG HMA PHYSICIAN MGMT
Location Address2080 S FRONTAGE RD, STE 100Vicksburg, MS 39180-5328
Mailing Address2080 S Frontage Rd, Ste 100Vicksburg, MS 39180-5328 · (601) 262-1000 · Fax (601) 262-1211
Phone(601) 262-1000
Fax(601) 262-1211
Organization SubpartNo
Authorized OfficialJohn H MoorePractice Administrator · (601) 262-1000
Enumeration DateAugust 14, 2013
✔ NPI 1497188460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R871321
2080 S FRONTAGE RD, Vicksburg, MS 39180
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Other Names 1

Doing Business AsMedical Associates Of Vicksburg

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

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.

VICKSBURG MEDICAL TEAMS MHT LLC
Family Medicine
2080 S FRONTAGE RD, SUITE 100
VICKSBURG, MS 39180
Warren County (601) 529-5466
BALEIGH FORD PA-C
Physician Assistant (Medical)
2080 S FRONTAGE RD, #100
VICKSBURG, MS 39180
Warren County (601) 262-1000
JENNIFER WILLIAMS NP
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 654-7070
ROBERT C. CLINGAN, MD, DERMATOLOGY
Clinic/Center (Medical Specialty)
2080 S FRONTAGE RD, SUITE 113
VICKSBURG, MS 39180
Warren County (601) 636-1658
AMEDISYS MISSISSIPPI, LLC
Home Health
2080 S FRONTAGE RD, SUITE 105
VICKSBURG, MS 39180
Warren County (601) 619-3670
BRANDON J CRAFT NP
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 262-1000
KORI SCREWS BUFKIN
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 420-2040
CAITLIN COPES FNP
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 883-6304

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 Mgmt's NPI number?

The NPI number for Vicksburg Hma Physician Mgmt is 1497188460. It was assigned to this organization in the NPPES registry on August 14, 2013. The provider is doing business as Medical Associates Of Vicksburg.

Where is Vicksburg Hma Physician Mgmt located?

Vicksburg Hma Physician Mgmt is located at 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180. The listed phone number is (601) 262-1000.

What is Vicksburg Hma Physician Mgmt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vicksburg Hma Physician Mgmt was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.