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THE FOOT CLINIC
NPI 1962689042
Clinic/Center - Podiatric in Vicksburg, MS

Active since January 30, 2008
1814 MISSION 66, VICKSBURG, MS 39180(601) 638-7520(601) 638-7541 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Foot Clinic NPPES

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

THE FOOT CLINIC (NPI 1962689042) is a healthcare organization registered as a podiatric in Vicksburg, Mississippi and active in the NPI registry since January 2008. The organization lists Brian Edward Shockley, President/owner, as its authorized official.

NPPES Registry Identity

NPI1962689042
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameDELTA FOOT CLINICS, INC
Location Address1814 MISSION 66Vicksburg, MS 39180-3710
Mailing Address1814 Mission 66Vicksburg, MS 39180-3710 · (601) 638-7520 · Fax (601) 638-7541
Phone(601) 638-7520
Fax(601) 638-7541
Organization SubpartNo
Authorized OfficialBrian Edward ShockleyPresident/owner · (601) 638-7520
Enumeration DateJanuary 30, 2008
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1962689042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in MS · 80142
1814 MISSION 66, Vicksburg, MS 39180
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Other Names 1

Doing Business AsThe Foot Clinic

Other Identifiers 14

Other1851563MS · United Healthcare
Other412865MS · First Health
Other5963224MS · Aetna
Medicare PIN4J434CP38LA
Medicaid1540447LA
Medicare NSC4342670001MS
Medicare UPINU68247LA
Medicaid00119033MS
Other430434140AMS · Bcbs
Other480026580MS · Railroad Medicare
Other4342670001MS · Medocare Dme
Medicare UPINU68247MS
Medicare PIN480000095MS
Medicare PIN480026580MS

Other Providers at the Same Location NPPES

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

DR. BRIAN EDWARD SHOCKLEY D P M
Podiatrist
1814 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 638-7520

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 Delta Foot Clinics, Inc's NPI number?

The NPI number for Delta Foot Clinics, Inc is 1962689042. It was assigned to this organization in the NPPES registry on January 30, 2008. The provider is doing business as The Foot Clinic.

Where is Delta Foot Clinics, Inc located?

Delta Foot Clinics, Inc is located at 1814 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-7520.

What is Delta Foot Clinics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Delta Foot Clinics, Inc was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.