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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PHYSICIAN MANAGEMENT SERVICES OF MISSISSIPPI, LLC
NPI 1922633916
Family Medicine in Vicksburg, MS

Active since March 10, 2020
1901 MISSION 66, VICKSBURG, MS 39180(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, May 21, 2026, Mar 10, 2020 (3 updates tracked since 2020).

About Physician Management Services Of Mississippi, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF MISSISSIPPI, LLC (NPI 1922633916) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since March 2020. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1922633916
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF MISSISSIPPI, LLC
Location Address1901 MISSION 66Vicksburg, MS 39180-3711
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateMarch 10, 2020
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1922633916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 MISSION 66, Vicksburg, MS 39180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD SAMARITAN PHYSICAL THERAPY,INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076
DR. ROBERT C MASTERSON DO
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-8244
CARLOS ALBERTO LATORRE M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
ROBERT M CANNON MD LLC
Clinic/Center (Primary Care)
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
FLOWERS MEDICAL GROUP LLC
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
JOHN R BARNES MD
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
DR. ROBERT MICHAEL CANNON M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
HOLLY PITTMAN OT
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076

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 Physician Management Services Of Mississippi, LLC's NPI number?

The NPI number for Physician Management Services Of Mississippi, LLC is 1922633916. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Physician Management Services Of Mississippi, LLC located?

Physician Management Services Of Mississippi, LLC is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Mississippi, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Physician Management Services Of Mississippi, 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 Physician Management Services Of Mississippi, LLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.