MEDICAL ASSOCIATES OF VICKSBURG PLLC
NPI 1508278177
Internal Medicine in Vicksburg, MS

NPI Status: Active since May 29, 2014

Contact Information

2080 S FRONTAGE RD
VICKSBURG, MS
ZIP 39180
Phone: (601) 262-1000
Fax: (601) 262-1006

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 25D1086495
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-07-2027

About MEDICAL ASSOCIATES OF VICKSBURG PLLC

This page provides the complete NPI Profile along with additional information for Medical Associates Of Vicksburg Pllc, an internist established in Vicksburg, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1508278177 assigned on May 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Medical Associates Of Vicksburg Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Paul Pierce Iii Md (Llc Member)

NPI
1508278177
Provider Name
MEDICAL ASSOCIATES OF VICKSBURG PLLC
Entity Type
Organization
Location Address
2080 S FRONTAGE RD VICKSBURG, MS 39180
Location Phone
(601) 262-1000
Location Fax
(601) 262-1006
Mailing Address
2080 S FRONTAGE RD VICKSBURG, MS 39180
Mailing Phone
(601) 262-1000
Mailing Fax
(601) 262-1006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2014
Last Update Date
05-29-2014
Code Navigator

An internist like Medical Associates Of Vicksburg Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL PIERCE III MD

Authorized Official Title
LLC MEMBER
Authorized Official Phone
(601) 262-1000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D1086495
Facility Type
Physician Office
Certificate Effective Date
January 08, 2025
Certificate Expiration Date
January 07, 2027
Laboratory Director
DR. MICHAEL L. CANNON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Medical Associates Of Vicksburg Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508278177, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 4 + 7 + 1 + 6 + 1 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508278177.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner
2080 S FRONTAGE RD, SUITE T
VICKSBURG, MS 39180
Pharmacy (Community/Retail Pharmacy)
2080 S FRONTAGE RD, STE N
VICKSBURG, MS 39180
Pharmacy (Community/Retail Pharmacy)
2080 S FRONTAGE RD, SUITE 101
VICKSBURG, MS 39180
Pharmacy (Compounding Pharmacy)
2080 S FRONTAGE RD, SUITE 101A
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD, STE 100
VICKSBURG, MS 39180
Family Medicine
2080 S FRONTAGE RD, SUITE 100
VICKSBURG, MS 39180
Internal Medicine
2080 S FRONTAGE RD, SUITE 100
VICKSBURG, MS 39180
Otolaryngology
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Clinic/Center (Medical Specialty)
2080 S FRONTAGE RD, SUITE 113
VICKSBURG, MS 39180
Physician Assistant (Medical)
2080 S FRONTAGE RD, #100
VICKSBURG, MS 39180
Home Health
2080 S FRONTAGE RD, SUITE 105
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Internal Medicine
2080 S FRONTAGE RD, SUITE 100
VICKSBURG, MS 39180
Orthopaedic Surgery
2080 S FRONTAGE RD, SUITE 113
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD, #106
VICKSBURG, MS 39180
Internal Medicine (Interventional Cardiology)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180
Nurse Practitioner (Family)
2080 S FRONTAGE RD
VICKSBURG, MS 39180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508278177, enumerated as an "organization" on May 29, 2014.

The provider is located at 2080 S FRONTAGE RD VICKSBURG, MS 39180 and the phone number is (601) 262-1000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.