VICKSBURG HOLISTIC HEALTHCARE, LLC
NPI 1568816643
Clinic/Center - Primary Care in Vicksburg, MS

Active since April 14, 2016
919 MISSION 66, VICKSBURG, MS 39183(601) 642-5513 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vicksburg Holistic Healthcare, Llc NPPES

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

VICKSBURG HOLISTIC HEALTHCARE, LLC (NPI 1568816643) is a healthcare organization registered as a primary care in Vicksburg, Mississippi and active in the NPI registry since April 2016. The organization lists Mary Strong, Family Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1568816643
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVICKSBURG HOLISTIC HEALTHCARE, LLC
Location Address919 MISSION 66Vicksburg, MS 39183-2751
Mailing AddressPo Box 820289Vicksburg, MS 39182-0289
Organization SubpartNo
Authorized OfficialMary StrongFamily Nurse Practitioner/ Owner · (601) 613-1398
Enumeration DateApril 14, 2016
Last NPPES UpdateApril 18, 2016
✔ NPI 1568816643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
919 MISSION 66, Vicksburg, MS 39183

Accepted 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)

Vicksburg Holistic Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vicksburg Holistic Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1720631161
919 MISSION 66
Vicksburg, MS 39183
(601) 262-2922
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174298293
919 MISSION 66
Vicksburg, MS 39183
(601) 262-2922
✔ PECOSSame address
Nurse Practitioner
NPI 1811932064
2080 S FRONTAGE RD SUITE T
Vicksburg, MS 39180
(601) 262-1000
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1205932134
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1114173796
1040 RIVER OAKS DR SUITE103
Flowood, MS 39232
(601) 326-2599
✔ PECOS44 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 Vicksburg Holistic Healthcare, LLC's NPI number?

The NPI number for Vicksburg Holistic Healthcare, LLC is 1568816643. It was assigned to this organization in the NPPES registry on April 14, 2016.

Where is Vicksburg Holistic Healthcare, LLC located?

Vicksburg Holistic Healthcare, LLC is located at 919 Mission 66, Vicksburg, MS 39183. The listed phone number is (601) 642-5513.

What is Vicksburg Holistic Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Vicksburg Holistic Healthcare, LLC enrolled in Medicare?

Yes. Vicksburg Holistic Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vicksburg Holistic Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vicksburg Holistic Healthcare, LLC. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vicksburg Holistic Healthcare, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Vicksburg Holistic Healthcare, LLC 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 Vicksburg Holistic Healthcare, LLC was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.