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

Active since May 29, 2014
2080 S FRONTAGE RD, VICKSBURG, MS 39180(601) 262-1000(601) 262-1006 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medical Associates Of Vicksburg Pllc NPPES

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

MEDICAL ASSOCIATES OF VICKSBURG PLLC (NPI 1508278177) is a healthcare organization registered as an internal medicine in Vicksburg, Mississippi and active in the NPI registry since May 2014. The organization lists Paul Pierce, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1508278177
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL ASSOCIATES OF VICKSBURG PLLC
Location Address2080 S FRONTAGE RDVicksburg, MS 39180-5328
Mailing Address2080 S Frontage RdVicksburg, MS 39180-5328 · (601) 262-1000 · Fax (601) 262-1006
Phone(601) 262-1000
Fax(601) 262-1006
Organization SubpartNo
Authorized OfficialPaul PierceLlc Member · (601) 262-1000
Enumeration DateMay 29, 2014
✔ NPI 1508278177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
2080 S FRONTAGE RD, Vicksburg, MS 39180
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Associates Of Vicksburg Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Medical Associates Of Vicksburg PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Caitlin Copes, FNP
Nurse Practitioner
NPI 1326578600
2080 S FRONTAGE RD
Vicksburg, MS 39180
(601) 883-6304
✔ PECOS✔ Accepts MedicareSame address
Olatunji Oluwatade, MD
Emergency Medicine
NPI 1477677458
2080 S, FRONTAGE RD. SUITE100
Vicksburg, MS 39180
(601) 262-1000
✔ PECOS✔ Accepts MedicareSame address
Amanda Gill, NP-C
Nurse Practitioner
NPI 1598230245
2080 S FRONTAGE RD STE 100
Vicksburg, MS 39180
(601) 262-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Edney, MD
Internal Medicine
NPI 1699702936
104 MCAULEY DR
Vicksburg, MS 39183
(601) 638-7271
✔ PECOS✔ Accepts Medicare1.8 mi
Samuel Pierce, M.D.
Internal Medicine
NPI 1922237411
2500 N STATE ST
Jackson, MS 39216
(601) 984-5601
✔ PECOS✔ Accepts Medicare40 mi
Joseph Blackston, MD
Family Practice
NPI 1194834747
1900 PETIT BOIS ST N
Jackson, MS 39211
(601) 981-4625
✔ PECOS✔ Accepts Medicare42 mi

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 Medical Associates Of Vicksburg PLLC's NPI number?

The NPI number for Medical Associates Of Vicksburg PLLC is 1508278177. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Medical Associates Of Vicksburg PLLC located?

Medical Associates Of Vicksburg PLLC is located at 2080 S Frontage Rd, Vicksburg, MS 39180. The listed phone number is (601) 262-1000.

What is Medical Associates Of Vicksburg PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Associates Of Vicksburg PLLC enrolled in Medicare?

Yes. Medical Associates Of Vicksburg PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Associates Of Vicksburg PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Medical Associates Of Vicksburg PLLC, in Emergency Medicine, Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Associates Of Vicksburg PLLC accept?

Health plans from Molina Healthcare list Medical Associates Of Vicksburg PLLC 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 Medical Associates Of Vicksburg PLLC was last updated on May 29, 2014. 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.