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RLGMDPA INC
NPI 1497819726
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: April 16, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rlgmdpa Inc NPPES

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

RLGMDPA INC (NPI 1497819726) 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 Lee Giffin, Adm, as its authorized official.

NPPES Registry Identity

NPI1497819726
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRLGMDPA 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 Lee GiffinAdm · (601) 636-0097
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 16, 2008
✔ NPI 1497819726 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 · 09966
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
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Other Identifiers 3

Medicaid00114253MS
Medicare PINC03132MS
Medicare UPIND92619MS

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 Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rlgmdpa Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040913000420Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rlgmdpa Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Giffin, MD
Family Practice
NPI 1376584052
1901 MISSION 66
Vicksburg, MS 39180
(601) 636-8244
✔ PECOS✔ Accepts MedicareSame address

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 Rlgmdpa Inc's NPI number?

The NPI number for Rlgmdpa Inc is 1497819726. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Rlgmdpa Inc located?

Rlgmdpa Inc is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.

What is Rlgmdpa Inc's specialty?

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

Is Rlgmdpa Inc enrolled in Medicare?

Yes. Rlgmdpa Inc is registered in the Medicare PECOS enrollment system.

When is Rlgmdpa Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rlgmdpa Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rlgmdpa Inc. 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 Rlgmdpa Inc accept?

Health plans from Molina Healthcare list Rlgmdpa 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 Rlgmdpa Inc was last updated on April 16, 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.