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DR. VIRGIL ISAAC AULTMAN MD
NPI 1922006279
Family Medicine - Adult Medicine in Jackson, MS

Active since July 11, 2005
2747 OLD CANTON RD, JACKSON, MS 39216(601) 366-6452(601) 366-6488 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Virgil Isaac Aultman Md NPPES

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

DR. VIRGIL ISAAC AULTMAN MD (NPI 1922006279) is an individual adult medicine provider in Jackson, Mississippi, licensed in Mississippi (06153) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1922006279
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. VIRGIL ISAAC AULTMANCredential: MD
Location Address2747 OLD CANTON RDJackson, MS 39216-4308
Mailing Address2747 Old Canton RdJackson, MS 39216-4308 · (601) 366-6452 · Fax (601) 366-6488
Phone(601) 366-6452
Fax(601) 366-6488
Sole ProprietorYes
Enumeration DateJuly 11, 2005
Last NPPES UpdateMarch 15, 2010
✔ NPI 1922006279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MS · 06153
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2747 OLD CANTON RD, Jackson, MS 39216
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Other Identifiers 3

Medicare UPIND75235MS
Medicare ID-Type Unspecified081945377MS
Medicaid00013576MS

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 Virgil Aultman's NPI number?

The NPI number for Virgil Aultman is 1922006279. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Virgil Aultman located?

Virgil Aultman practices at 2747 Old Canton Rd, Jackson, MS 39216. The listed phone number is (601) 366-6452.

What is Virgil Aultman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Virgil Aultman was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.