VICKSBURG CLINIC LLC
NPI 1659307791
Internal Medicine - Infectious Disease in Vicksburg, MS
About Vicksburg Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKSBURG CLINIC LLC (NPI 1659307791) is a healthcare organization registered as an infectious disease in Vicksburg, Mississippi and active in the NPI registry since June 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Other Identifiers 8
Group Practice 1
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 Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Vicksburg Clinic LLC, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 41Source: 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 Clinic LLC's NPI number?
The NPI number for Vicksburg Clinic LLC is 1659307791. It was assigned to this organization in the NPPES registry on June 23, 2006.
Where is Vicksburg Clinic LLC located?
Vicksburg Clinic LLC is located at 1115 N Frontage Rd, Vicksburg, MS 39180. The listed phone number is (601) 634-8790.
What is Vicksburg Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Vicksburg Clinic LLC enrolled in Medicare?
Yes. Vicksburg Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vicksburg Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 18 Medicare specialties reassign their Medicare billing to Vicksburg Clinic 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. The largest specialties are Nurse Practitioner (10), Obstetrics/Gynecology (4) and Pediatric Medicine (4). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vicksburg Clinic 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 Clinic 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 Clinic LLC was last updated on November 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Vicksburg Clinic Llc · NPI 1659307791
Infectious Disease organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1659307791 (Entity type: Organization)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **Organization subpart:** No
- **Authorized official:** Debbie Brewer, DIRECTOR OF PROVIDER ENROLLMENT
## Practice location
- **Address:** 1115 N FRONTAGE RD, Vicksburg, MS 39180-5102
- **Phone:** (601) 634-8790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Obstetrics/Gynecology (4), Pediatric Medicine (4); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1659307791/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2008
- **Other identifiers:** Medicaid 09015545 (MS); Medicaid 00720204 (MS); Medicaid 09015547 (MS); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1659307791) · Data from the CMS NPPES public registry.