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UNIVERSITY SPORTS MEDICINE PLLC
NPI 1962674739
Specialist in Oxford, MS

Active since April 01, 2008
2401 PROFESSIONAL DR, OXFORD, MS 38655(662) 234-0424(662) 234-0485 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Sports Medicine Pllc NPPES

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

UNIVERSITY SPORTS MEDICINE PLLC (NPI 1962674739) is a healthcare organization registered as a specialist in Oxford, Mississippi and active in the NPI registry since April 2008. The organization lists Vicki G Ferguson, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1962674739
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUNIVERSITY SPORTS MEDICINE PLLC
Location Address2401 PROFESSIONAL DROxford, MS 38655-5374
Mailing Address2401 Professional DrOxford, MS 38655-5374 · (662) 234-0424 · Fax (662) 234-0485
Phone(662) 234-0424
Fax(662) 234-0485
Organization SubpartNo
Authorized OfficialVicki G FergusonClinic Administrator · (662) 234-0424
Enumeration DateApril 1, 2008
Last NPPES UpdateJune 24, 2009
✔ NPI 1962674739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 13319
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2401 PROFESSIONAL DR, Oxford, MS 38655
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Other Identifiers 3

Medicare UPINE95072MS
Medicaid00118675MS
Medicare NSC4127050001MS

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 Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

COURTNEY WILBURN PRUITT NP
Nurse Practitioner (Gerontology)
2401 PROFESSIONAL DR
OXFORD, MS 38655
Lafayette County (662) 234-0424
EDWARD D. FIELD M.D.
Orthopaedic Surgery
2401 PROFESSIONAL DR
OXFORD, MS 38655
Lafayette County (662) 234-0424

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 University Sports Medicine PLLC's NPI number?

The NPI number for University Sports Medicine PLLC is 1962674739. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is University Sports Medicine PLLC located?

University Sports Medicine PLLC is located at 2401 Professional Dr, Oxford, MS 38655. The listed phone number is (662) 234-0424.

What is University Sports Medicine PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does University Sports Medicine PLLC accept?

Health plans from Molina Healthcare list University Sports Medicine PLLC 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 University Sports Medicine PLLC was last updated on June 24, 2009. 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.