VICKSBURG CLINIC LLC
NPI 1790711158
Family Medicine 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 1790711158) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since June 2006. The organization lists Kristina Music, Director Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 3
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, 11 practice at this address and 25 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 1790711158. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Vicksburg Clinic LLC located?
Vicksburg Clinic LLC is located at 2100 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 883-5000.
What is Vicksburg Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 11 practice at this address and 25 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 and 1 other insurer 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 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 1790711158
Family Medicine organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1790711158 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kristina Music, DIRECTOR PROVIDER ENROLLMENT
## Practice location
- **Address:** 2100 HIGHWAY 61 N, Vicksburg, MS 39183-8211
- **Phone:** (601) 883-5000
## 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); 11 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1790711158/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2024
- **Other identifiers:** Medicaid 200002582 (MS); Medicaid 1444596 (LA); Medicaid 1446084 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790711158) · Data from the CMS NPPES public registry.